Addiction Treatment: Then, Now and Tomorrow

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Addiction Treatment 30 Years Ago

The state of Addiction Treatment in the past was very limited, mainly because there were not as many drugs available on the street. Here is a snapshot of what addiction treatment was like 30 years ago:

  • Very few treatment programs
  • No competition between programs
  • No 12-step based programs
  • No adolescent treatment care
  • Locked down for mental health issues
  • Very, very few interventionists

Adolescent Addiction Today

Social media has exposed the whole society in a way that nobody can keep a secret now. Some adolescents are literally dying on social media lately. The culture of friendships and groups of friends has changed significantly because of the internet and social media. They might be playing video games with each other, but don’t really know each other personally. Dating trends have also changed significantly. There are also many more adolescents who are struggling with mental health issues today.

Parental Role in Adolescent Addiction

One of the reasons parents are unable to help their children is fear: fear of looking bad. Parents’ modeled behavior can help or hurt their children. Sometimes parents are in denial of their children’s addiction and behavioral patterns, perhaps to avoid their own pain. Because there are shut out of their children’s rooms when they become adolescents, it is even more difficult for parents to notice unusual behaviors such as self-harm, self-mutilation and suicide ideation which are rampant at this time.

Unfortunately, many treatment centers refuse to take in patients who are self-harming.

Why Adolescents Self-Harm

There may be various reasons and factors that go into why a person would resort to self-harming. Here are some scenarios:

  • As an escape from emotional pain
  • They may feel physical pain is in their control
  • Pain can be an endorphin high for some
  • Self-harm can sometimes be harder to quit than drugs
  • To feel some connection to self which may have been disconnected
  • Why Parents are Unable to Connect

Trying to get their children to go shopping or for lunch is really not a way to connect on their level. There is no interconnection or any spiritual work with respect to shopping and eating out. However, most parents today are in much more stressful environments, and therefore too tired and exhausted to play with their children and to connect at the level that they need. So the TV becomes their nanny.

Many parents today don’t take their children to church regularly, another place where a spiritual connection could be established.

The Covid pandemic has created even more isolation, and exacerbated issues related to substance abuse, especially opiates.

Misdiagnosis and Medications

Rather than learning to connect with their children, parents are resorting to medicating them. Most high schoolers now are being given Adderall at some point in their lives. Even 5 and 6 year olds are being diagnosed with mental illnesses, so that they can put a label on them and be prescribed medications.

Addiction is a Family Disease

Although a child or an adolescent has been diagnosed with addiction or SUD, it is important to understand how they got to that point. Where did they learn that behavior? In some cases, parents are even smoking pot with their children in a misguided notion that they are connecting with their child, however, what the parents may not understand is that an adolescent’s brain reacts very differently to drugs, and may impact them for the rest of their lives.

What is a Good Treatment Center?

Candy Finnigan, from A&E’s Intervention show uses any means necessary to help families by providing intervention services and bringing them into treatment, enticing them with something they would be interested in, even using white lies, if necessary. Candy’s main intention is to find a treatment program that will be a good fit for them.

Here are some factors Candy considers in a good treatment center:

  • A program with a really good medical detox
  • Medical detox provided in the facility
  • Gender-specific treatment since women have different issues than men
  • Expert doctors and clinicians who understand the drugs used in detoxes
  • A good treatment plan including 90 days of treatment, and repetition if necessary.

In addition, Candy believes being a part of a 12-step or non-step program that has a spiritual component to it is really important. It can also help by holding accountability to their personal growth. Finding a sponsor who is in alignment and joining an Anonymous support group can be very beneficial for having a supporting community.

Let’s Fight the Fight

Addiction treatment has come a long way since 30 years ago where it was cash pay only. Although insurance companies provide some amount of coverage for behavioral health now, they are increasingly pushing Medically Assisted Treatments in favor of longer term recovery programs. There are a huge number of physicians approved to prescribe medications for behavioral health patients, who do not seem to be aware of how to have a cohesive relationship with treatment centers, so that they can work together, rather than simply prescribe drugs. Without proper assessments, mental health disorders are being diagnosed within 20 minutes, sometimes on the phone, and opioids being prescribed.

Interventionists, clinicians and staff who really believe that fighting addiction is their life’s work can really help many of our loved ones off of drugs, and help them not just get to treatment, but to help them become healthy, wholesome people, leading fulfilling lives.

Candy Finnigan from A&E’s Intervention

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Hello everyone and welcome to the GOT mental health podcast. I am your co-host Rachel Kove. I’m the owner of Transformational Solutions, a life coaching business that specializes in addiction, trauma and self-destructive behaviors. I’m an author, podcast host, group facilitator, speaker and co-creator of the online eight-week self-development course, Divisions Program.

I’m your co-host Arthur Mogilevsky, a business entrepreneur, dad, animal activist and owner of AM Healthcare, California’s leading dual diagnosis and mental health treatment center, focusing on comprehensive and immersive treatment experiences with a network of facilities and dedicated professionals committed to providing each and every client the intimacy of care they so richly deserve. This is the GOT mental health podcast, a fun, open and safe space where we talk to experts, thought leaders and professionals in the mental health field. Our goal is to educate, inspire and empower people to take care of their mental, physical, emotional and spiritual well-being. Join us weekly to hear Arthur talk like this, as we talk all things mental health. Follow us wherever you go to get your podcasts and don’t forget to rate and review as it really supports our show. Thanks guys and keep listening to Arthur.

RK : Welcome everyone, to the GOT mental health podcast. I am your host Rachel Kove along with my co-host Arthur Mokiki?

AM : It’s Mogilevsky, Rachel

RK : Okay thank you Arthur. Today we have a host that I am so excited to interview: Miss Candy Finnegan. You might recognize her from the A&E show, Intervention. She speaks all over the country, she’s a recovery and placement specialist as well as an addiction specialist and amongst many other things, a wonderful mother and I just can’t wait to talk to you today.

AM : Yes, very exciting.

CF : I wouldn’t go so far as to say a wonderful mother

RK : Well you’re a mother

CF : That’s for sure

AM : Well I mean, I feel like we have like a million questions but obviously because of your experience and knowledge and the space and outside the space I think the ultimate question is, where were we in Substance Abuse and Mental Health? Where are we now and where do you think we’re going?

CF : I got into the business 30 years ago and there was nothing competitive because there weren’t that many treatment programs. There was a diversion program where you went and threw up and said they were sick and Charter and all those which were bizarre, not 12-step based at all. And then you had your Betty Ford and your Hazelden and a few in between. ASAP, which was a really good program in Van Nuys hospital. So I think that everybody wanted everybody to get well.

AM : Yeah, that must have been such a great time.

CF : Well it was and it wasn’t. There was no adolescent care. I mean you went into a lockdown if you were mental – that’s just the way it was.

RK : Do you feel there wasn’t any adolescent care because parents were intentionally ignorant about their children’s mental health?

CF : No, I don’t think there was addiction anywhere near what it is now with adolescents. I mean I think 12 year olds were probably still playing with dolls. Social media has blown up the whole society.

RK : Why do you think that is?

CF : Because nobody can keep a secret. No, I didn’t want my parents to know what I was doing, for God’s sakes! And now you’ve got these kids that are getting high and I mean actually literally dying on social media.

RK : Literally dying!

CF : Yeah, of course I grew up in the midwest – I grew up in Kansas – and it took a long time to get anything there but this was the 60s and they were still behind the times when I graduated from high school and I don’t think I smoked pot till I was 19. But I’m an older generation but I got all these older musicians that started it but their music hardly got to Kansas.

AM : It’s interesting because I have this debate with my friends all the time – the culture of friendships and groups of friends has changed significantly because of the internet and because of social media whereas I remember when I was a kid we would go out in the street and play on bikes and soccer and fall down, cruise up and bleed and there’s activity.

CF : And you got home before dinner time.

AM : Right, so I feel like that plays a factor into it.

CF : I had a friend who had a younger sister who was certainly not mentally stable and she had an imaginary friend and I kind of dug it. She wasn’t any trouble, didn’t have to take her anywhere and doctor her all the time, didn’t argue. I thought, yeah, that’s not such a bad idea. But then the world is made up of that now. These kids that play video games and don’t even know each other, and the dating thing, oh my God, my daughter went on a couple of those and I just had to follow and have a gun ready. I don’t know how you trust people when we are a group of liars. I didn’t grow up that way – I mean I got punished if I got caught lying. Only thing I ever lied at was at confession because I couldn’t remember how many times I’d lied. So it was like one of those things where the older population, the respected parental guidance – no such thing.

AM : Not anymore, yeah that’s fascinating – I mean it’s participation awards…

CF : I think a lot of it started when there were two families that had to work and you had these latchkey kids and video games put a whole new twist on life and social media – I mean because the Tik Tok thing is a whole generation – that’s the bee’s knees. If you’re not on Tik Tok then who are you? A 16 year old – one of the big girls in Tik Tok – a 16 year old – just killed herself. A lot of pressure. Not all these kids certainly have addiction or mental problems but they have such enormous egos. To vilify everything that you think about yourself and you’ve perceived, and leaving it up to other people to know that you’re not that, then it’s a fraud.

RK : So how do you measure any of this?

CF : I have a whole theory as far as… I met a young man about about four or five months ago and he’s 17. He’s been in eight treatment centers and he’s now just kind of frenetically smoking pot constantly which is a psychosis in itself. But this kid loves treatment. He loves going away, there’s no responsibility, he doesn’t get any [ __ ] from anybody and I I said to him, “Really?” He said, “Well yeah, do you have a clinical diagnosis?” That’s the first thing he said to me at the intervention. I said, “Yeah, I do.” He said, “What is it?” and I said, “Full of [ __ ]! That’s my clinical diagnosis for you, buddy.” I said, “You have turned into such a brat. It doesn’t matter how you get attention but you got this other brother and sister over here making straight A’s, one of them leaving for college, and all they get to worry about is you and spend every last penny on you to try to get you well and it’s a game.”

RK : What was his response to you being brutally honest?

CF : He flipped me off. I said, “Oh, that is so threatening, God, keep it up!”

RK : Do a lot of the clientele that you work with respond well to brutal honesty?

CF : No, but I have to tell brutal honesty to 17 year olds because maybe they don’t know they’re full of [ __ ] because their parents don’t and it’s like you’re gonna go to treatment one more time? Really? Where would you like to go? Oh you’d like to go to Colorado because they’re skiing? How about going to the desert?

RK : So what would you tell the parents of a child who you view as full of [ __ ]?

CF : Get your [ __ ] together.

RK : So you see it as modeled behavior from the parents?

CF : No, I think it’s fear.

RK : Fear of what?

CF : Fear of them looking bad.

RK : Fear of the parents looking bad? I love this topic because I often feel like kids become these identified patients and it’s the parents not wanting to look at themselves.

CF : Well, I would have to say that a majority of the interventions that I do on a young person, a young adult, anything under 20, I intervene on the parents. The kid, I can get to do anything.

RK : I’m so curious how you do that, and your approach with that, because I’ve done a lot of family groups, I’ve worked with a lot of families myself, so do I know that it’s an art form because you can’t go in guns blazing at the parents.

CF : And you can’t mirror, “This is who I am and this is who you need to be,” because they all have a different story. I do a wonderful adolescent parent group on Saturday mornings with Lynn Peterson from One Recovery. The amount of mental illness, the amount of suicide ideation, the amount of self-harm and they always start out with this. My child doesn’t have a problem with drugs.

RK : It is unbelievable, the denial that exists within families. And also I find it’s not substances, like right now so many adolescents are self-harming and no one wants to talk about it.

CF : It’s more rampant than it’s ever been and there’s an awful lot of treatment centers that will not take clients – young people harming themselves. I just had it happen and the treatment center didn’t even know what was going on at the treatment center.

RK : So I am someone who has recovered from self-harming and I love to be honest about this because I cannot tell you how many clients I’ve worked with who struggle with addiction and then they get sober from addiction and they either had self-harming tendencies or behavior before the substance or they started doing it after. And that was my story as well. It’s frustrating because if parents want to stay in denial your kid is going to suffer and I’m curious like why do you think parents want to stay in denial? Is it because they want to avoid their own pain?

CF : Well, let’s ask an average parent. If they’re in their teens they don’t give them a bath or they don’t watch them shower. They don’t know they’re self-harming. A majority of self-harm is, other than your wrist, unless it’s really suicide ideation and then it’s always your neck. But what did self-harm do to you?

RK : For me, it was an escape from pain. It was like I’m going to alleviate the pain for seconds because with emotional pain there’s this feeling of powerlessness. With physical pain I can control it to a point. And I think that’s what people are looking for at the end of the day, is the sense of relief from emotional pain.

CF : But it’s also an endorphin high

RK : It is a total endorphin high and honestly, and I know this is a heavy subject and I’m glad we’re talking about it because for me, that was harder for me to quit than alcohol.

CF : Well, I understand that because it was your dirty little secret and parents don’t understand it. I mean there’s self-harm and then there’s self-mutilation and I did an absolutely heart-wrenching story on the show about the second or third intervention in the whole show that was self-mutilation. And it came from an incestual situation. She only cut herself with broken mirrors and it was very sexually graphic but she wasn’t trying to kill herself. She was trying to kill the pain from the incest. And it was her grandmother.

AM : I really want to take advantage of it since we’re already on this topic, I mean if you’d be able to give pointers or suggestions to somebody who’s watching who doesn’t know or can’t, is not watching their child take a shower, what are signs, what are things that they can be on the lookout for?

CF : If you had a psychiatrist, the best psychologist, the best adolescent specialist in the whole world the person that can answer that better is Rachel because she’s had that interior trigger in her soul. You can’t explain it to parents. The self-mutilation thing with this girl was that she bled and she wanted to make sure that she was still alive. She would almost have cycles with it depending on her mental condition. They were born again Christians and they thought it was the devil of course. So I can’t get into that with people.

RK : I can understand the feeling of wanting to be alive because often with trauma you disassociate from the body in order to survive and so then it leaves you with this feeling of numbness and so when you feel numb you don’t feel connected to anything externally and the only thing you feel connected to potentially is your emotional pain so then you cut, and you feel something.

CF : And it also goes along with eating disorders and at this point I think we never recognized that just your average young teenage boy has an eating disorder. There were hardly any places you could send them that they would take them. You had a lot of obesity but not real anorexia and purging. And of course, here once again we’ve created that you got to be thin. Rumor has it that Jim Morrison did not die of a heroin overdose, he died in a bathtub that he would sit for hours in a bathtub. Because he would go back to France and gain tons and tons of weight, eat everything that had butter on it and butter alone and gained maybe 20 or 30 pounds and he was getting ready to go back on tour and he went on the heroin diet. And there are a lot of really skinny young guys that were on billboards (that I’m not going to mention their names) that all got onto heroin to be able to not eat. Because they didn’t want to be really speedy and what’s a diet pill for this generation? There isn’t really too much right and then there’s Adderall.

RK : So do you feel that compulsive behaviors are a way to control the pain?

CF : Yes, I think kids get eating disorders. I was talking to a mother the other night and this is a boy and she said, “Oh my God, he’s in the bathroom throwing up.” And I said, “Is he sick or does he have bulimia?” And she goes, “Well, I don’t know.” And I thought, okay well maybe you do need my help. But really good treatment centers, as far as I’m concerned, are gonna watch you changing and shifting deck chairs on the Titanic, whether you’re going into an eating disorder and shopping, that’s huge, and anything that’s outside plastic surgery.

RK : Oh my god! Well, body dysmorphia just runs rampant

CF : But that is an eating disorder, I said body imaging, but we don’t call it that.

RK : I think this goes back to the question that Arthur originally asked in the beginning: where were we in the past and where are we now with mental health. Where do you think we are now with mental health?

CF : Well, I grew up with a brother that was severely bipolar and this was in the 50s. Thank God Menningers was in Topeka, Kansas because he did get good help but it certainly fractured (he was adopted too), certainly fractured my family. I truly believed as he got older, because mental illness is progressive just like addiction, I thought that he was a really good actor. I thought it was kind of to get all the attention, well I’d have none of that. You-who over here. So my acting out was much more prolific as far as barrel racing and on my horse and I mean it was like Junior Olympics swimming. It was like I wanted the accolades from something I did instead of my behavior.

RK : Because if you got the accolades what did you?

CF : I could take credit for it, not where I came from, who I am, who my parents were, Bob and Jenny’s daughter, which I loved being, but I didn’t meet up to Bob and Jen thinking they adopted this lovely girl and I didn’t. I never wanted to be a lovely girl. I wanted to be a kick-ass broad you wouldn’t mess with.

RK : Yeah, I understand that and because we’re on the topic of adolescence, recently I did an interview for Beverly Hills High School.

CF : I did the Sober Lunch there for 11 years.

RK : Oh wow! So they have a podcast there now and they have this new incredible program there called The Wellness Center.

CF : Oh I kind of started it

RK : With Ali?

CF : I started it a long long time ago with the Maple Center because it had to have somebody supervising me.

RK : So it was literally this week that I was interviewed by their podcast and I was crying on the show because that program was not around when I went there and I so wish it had been because I was suffering so much as an adolescent. I think we briefly grazed over it earlier but how do parents connect to their adolescents? What are some ways that you feel? Because I have a lot of friends and colleagues who have teenagers and they say well, my kid just wants to go into their room and be on their phone. They don’t want to connect with me. Do you think a part of that is true?

CF : What are they connecting with? I said this to a mother about a year ago. Nothing irritates me more than, “Would you like to go shopping and lunch. Really? That’s all you got?” I mean to dress them up and make them look cute or go have sushi? That isn’t any inner  intermingling or any spiritual work with a kid. You walk in and say what the hell is going on? Or you go in your room with them.

AM : It’s interesting, because you see that a lot of times parents, and speaking as a parent myself and trying not to do these types of things, they try to make their kids do what they feel comfortable with doing at that moment rather than asking the kid what would you enjoy doing, and what do you have fun with? So for instance, my daughter loves to dress up like witches and fly around the house together with wands so we put on wings and we fly around making noises.

RK : I love that

AM : But instead I could be like oh well let’s just come with me and we can go watch TV or we can go drive around to the supermarket, watching movies. I think it’s too often because of the work, stress, environment, because of whatever the culture that we live in these days, parents are exhausted and they’re tired and so when kids come to them and say they want to play or want to do things, if you hear enough of the times “I’m tired, I’m not interested, I can’t, I’m working, I’m whatever.”

CF : Then who’s become the world’s greatest nanny? TVs and video games. I mean, you think about Columbine and you think about Sandy Hook, and you think about all those tragedies – all those kids never shot a gun until they planned this whole thing it was all kill ‘em on video. I’ve done two interventions. One completely out of this crazed on video and no addiction. And now, for the grace of God, there’s Don Grant who is a master. I gave him his first job – he’s a master genius – I hired him as a tech. But there are four of them and there’s one treatment center and it’s just for boys. But when I was growing up and even my daughter didn’t have 11 princesses and all 400,000 dollar outfits and the red cruise on Disney that you spend five or six hundred dollars on outfits for – that outer extension is just separating us from the real spiritual work. It’s been a long time – even though I’m very active in 12-step – I don’t see a lot of parents that took their kids to church except maybe on Easter or something. Of course I was made to go to church but I at least had a foundation. They say the least amount of activity in a church is Sunday school. I get it Sunday you’re tired, you’re exhausted. Catholics go to church on Saturday for God’s sake – that’s when confession is – because they want a day off. So I think the pandemic just put the icing on it. 100,000 deaths from January ‘20 to ‘21 with opiates alone.

AM : That kind of leads me to the third part of the first question was, where do you think we’re going with everything, obviously with Covid and with mental health on the rise?

CF : Well I think there’s more severe mental illness right now than there’s ever been. I can say some of it is linked to addiction but mental illness is now considered OCD, ADHD, dementia. It isn’t just your bipolar, depression, anxiety – how many kids have anxiety? How many kids are on medication? Nothing is tested on an adolescent pharmaceutical wise because it costs them four or five times what it does to get an FDA but they’re handing them out like candy. I mean I have not met, well maybe one or two, who haven’t at least tried Adderall, that are either in college or high school.

RK : Parents are doing that when their kids are like seven and six and eight.

CF : A mother just told me that at 11 years old her daughter was diagnosed with bipolar. And I said to her, “Give me that guy’s name.” It is frustrating because I said that’s impossible.

AM : I’ve heard even five-year-olds – I don’t know if it’s an excuse because they just don’t want to deal with it and they’re just trying to find a reason just to put them on something so that they can just walk away and say get rid of it, get medicated.

RK : Can you speak to what he just said – do you think that is one of the main reasons?

CF : Yes, there’s families that ring a bell for you to come get your meds.

bI mean it’s just unbelievable. They don’t know what to do and they think that if they just fix the kid, that will make them look good, so it’s like they’re trying to preserve their own self-image and really trying to control and manage their own anxiety.

CF : Absolutely. So here we are in Los Angeles, California. You give birth to a baby and if you want them to go to a really good preschool you have to sign them up within three or four months.

RK : Insanity. I remember that. I’m like, I have to now think about, okay if my son wants to go to Harvard I need to start figuring out the preschool he wants to go to now.

CF :  All of those feeder schools, so well, I have two children and I would say at least 400 to 500,000 dollars is what we spent on them.

AM : There’s so many outliers it’s unbelievable because my wife is originally from Belarus, she lived in Israel. The level of education in Russia is like 10 times higher than it is here and so like when she came here and she understood the language, obviously spoke a little bit of English here, and there she went to Birmingham High she graduated as valedictorian, after just being here for like a year. Just the the style of education, the quality of it, how much effort they put in

CF : Must have been really easy.

AM : But that’s a transition here, from an education standpoint, absolutely, there’s just so many factors in play here.

CF : I went to a Catholic school and a lot of it was crazy – I mean we spent weeks on the pope which wasn’t going to get me anywhere – but it kind of kept me tuned in so I wasn’t crazed but there weren’t drugs or alcohol and me growing up.

RK : There really wasn’t? So how do you think that has now developed into what it is today? Are there just more drugs now?

CF : Oh my God, yes.

RK : And there’s Craigslist because people are now buying fentanyl off Craigslist and this is the horrible thing about the world we live in now.

CF : I didn’t have anything to escape. There wasn’t reason for me to escape. I got up, it’s a beautiful season, there were four of them, I went to school, I came home, I hung out with my friends, I rode my bike, I had a horse, what am I running away from? I had dinner with my family every night at six o’clock unless they had liver and onions and then I’d fly and say I was sick and I mean where was I going? It’s like all the shows were Ozzie and Harriet and Make Room for Daddy and I mean it was all a life that existed – it wasn’t made up [ __ ] like it is today.

RK : That’s a really interesting line: it is that it was a life that existed and not made up, I mean wow.

CF : I watched Ricky Nelson – he was three years older than I was and he was cute and he was and everybody’s dad went to work and his mother wore an apron in a dress every time when the father would come home she would be in a dress and an apron making dinner. Although my mother didn’t cook without aids, it wasn’t so far out of reach to believe that you could look into somebody’s life. And I’m sure there were many poverty areas and stuff they didn’t have but there wasn’t an 89 percent chance of the father leaving.

AM : That’s not the real statistic, is it?

CF : Yes, it is. It really is.

AM : As a whole in general, regardless of culture, background, area?

CF : Well, it’s mainly in large cities.

AM : You’re kidding. Over what period of time?

CF : Maybe like five. By five my kids went to private school when my daughter went in my daughter’s 42. When my daughter went in, myself and one other family, two other families were the only ones married out of a class of 30. So you had my dad, my mom, my stepmom, my stepdad, and so at parent meetings I think, God, these people have four parents.

AM : I kind of love this conversation and we can go on for hours, but I do want to curtail it back to obviously your specialty and your wisdom in the space of Substance Abuse and Mental Health.

CF : My resentments, right?

AM : I’m trying to prettify, beautify this conversation. Obviously, you’re very well known for your experience in the intervention world and so I’m curious, what led you to want to become an interventionist? What inspired you to start this?

CF : It found me. Lori lived across the street from me and she said (my kids were going and I probably had maybe five or six years of sobriety) and she said, “Let’s go to UCLA and become drug and alcohol counselors.” And I said what? She said, “Oh yeah, let’s go get sushi and see a movie and tell them we’re going to school.” But I already had an undergrad degree and she had been an actress and she only had a high school degree and she is the most magnificent learner. I mean she ended up getting her PhD. And I went okay, how else am I going to get out of the house? It sounds good to me. My kids were young.

RK: How old were you at the time?

CF : 52, no 48 when I started, I was 52 when I graduated. I got straight A’s – I’m certainly ADHD and I got straight A’s. And the reason is because of the topic and I was fascinated with pharmaceuticals and I loved all of it and I went to work at Charter I got my hours at Beverly Glen Hospital. It was like 3,000 hours – a lot of hours. I got sober on May 1st of ‘86 and in June of ‘86 I’d met a man named Buddy Arnold and he was starting and trying to start a musician’s assistance program because when most of us got sober and particularly all the musicians there was no help. The union didn’t help at all. The union didn’t have insurance. I was lucky enough to have SAG after us so we did have really good insurance. I miss SAG – it was so good. We started having a picnic, musician’s picnic to raise funds to put people into treatment and we’d get treatment centers to give us a good deal and I’d say we spent maybe five or six thousand dollars on somebody and then we asked that they do community service when they get out. Well, who was going to go get these people? Me. Because now all these musicians that were loaded are now sober and they’re out on tour so I volunteered. I was at the Musicians Union, my husband and David Crosby were very instrumental in starting it and I’d go to these people’s houses and this be-ragged wife or girlfriend would come to the door and I’d go, “Hi I’m here from the Musicians Assistance program and they’d go, “Get in here and get this [ __ ] out of here.” And I’d go, “Oh, you’re not going to help me?” And so I started doing mini interventions without knowing the name. I did a huge band that was very well known and so I had to have the band in the intervention to say if the lead singer didn’t go he couldn’t work. So that was how it all started. I would just go over and go, “Are you really pooping on the couch? Wait till I tell people. You’ve got a big reputation.” Because I married the man, not the job, I didn’t really know anything about music other than Dolly Parton and so it was like it was a perfect fit for me. Because I didn’t know who anybody was and I wasn’t very impressed with them and I had a lot of great stories.

RK : Did it feel fulfilling?

CF : I didn’t know what fulfilling was at that point. I knew they might not die because by that point there’d been like the Mama Castles and the Hendricks and the Tommy Bolens and I mean, it just kept happening and I would go, don’t these people know that heroin kills you?

RK : So at that time were there a lot of interventionists?

CF : No, there were two women interventionists.

RK : Were you one of them? Or two other women?

CF : Yes, one of them was a woman named Joanne Tall who lives in Crawford, Colorado now and the other one was Pat Kelly and she was a Christian interventionist.

RK : So for people that don’t know what an interventionist is could you define what an interventionist is?

CF : Somebody that comes in and ruins an addict’s life.

RK : And the family system sometimes – comes in and ruins the family of the addict.

CF : Well, it’s a person that comes in and interrupts a family because it’s a family disease. It interrupts a cycle of not knowing what to do and having them look at their part, having him hopefully get into Al-Anon, having them hopefully know that they didn’t cause it, they can’t cure it, they can’t change it, but every time that they open their mouth and give them money they’re killing them.

RK : When you say it’s a family disease can you explain that?

CF : Well, we have a designated patient but how did they get there?

RK : For parents that are listening out there this is not about blaming you.

CF : Oh no, you can’t blame them because they didn’t take the drugs. They didn’t take the alcohol.

RK : I always tell clients that I work with because often children are so loyal to their parents. They want their parents’ approval and love so badly so they never, usually they never want to say my mom is a bad mom and my dad is a bad dad – sometimes they do but I often find that when I say to them how did you learn the behavior growing up? If your parents were these teachers and you were a student coming into the world where did you learn that behavior?

CF : Yeah, where did you learn the cheating and thieving? Well we’ll see because the kids are the secret keepers. My daughter certainly was with me. But nobody made them – you don’t pour alcohol down somebody. Now I know an awful lot of parents who smoke pot with their kids and I just shamed him. I don’t know what else.

RK : You shamed the parents? How would you do that?

CF : Well, I’d go, “You smoke pot with your kid? Tell me why. Do you know about the adolescent brain? Do you know that what you’ve just caused them is to feel so differently that they’re going to chase it for the rest of their life?

RK : Is that shaming or is that bringing clarity?

CF : It’s shaming him because they’re not getting the same thing out of it as the kid is, and it’s a bonding technique.

RK : It is, it’s sad because it is a way they’re trying to connect to the kid but they’re so disconnected from themselves that they don’t know how to connect.

CF : Well I had this dad go, “Can you imagine going to Disneyland and not smoking a joint?” and I go, “As a matter of fact, I can. What made you think your 14 year old should smoke pot before he goes to Disneyland?”

AM : What do you say to the argument, “I’d rather have my kid do drugs with me than do it on the streets on their own?”

RK : Great question.

CF : Well I’d have to say I’d like to take you to the street. I’d like you to see what the hell you’re doing to this kid. There’s a whole bunch of people down by the Greyhound bus station that didn’t have any parental guidance.

AM : The sad thing is that this is such a generational problem. It’s like when you become a parent…

CF : Well, they don’t want to be parents, they want to be friends.

AM : Exactly, but at the same time when you become a parent you’re sitting at the hospital and this magnificent situation happens and it’s just beautiful and it’s emotional.

CF : And it’s downhill from there. I destroyed my life.

AM : But I mean, there isn’t anybody just standing there that’s like, “Oh, here’s a handbook and if you follow these steps you’ll be an effective person.”

CF : The more you read the more it doesn’t come true. Somebody said what books did you read when you were pregnant? And I said, well I got through one chapter and it scared the [ __ ] out of me and I thought I don’t want to do that.

AM : I’ll tell you something even funnier. I mean we read an entire children’s names book and we ended up picking up a name that wasn’t in it and it was like 500 pages so it’s like you can’t read about this which is sad and funny.

CF : Right, but you have wonderful Russian names that people can actually remember

AM : Because they can’t pronounce them well

CF : But neither can they Irish. I was gonna name my daughter Fiona and my son Seamus and they were calling him Shamu – that’s a whale. And then I was gonna name my daughter Briar because that’s a patron saint of song because of my husband, and I ended up naming him Bridget because that’s the same patron saint of harmony. But in Ireland there are no seconds and thirds – everybody has their own name, so my son is Kelly Patrick Finnegan and my husband was Michael Kelly Finnegan, so you join the people up here and down there and you get a name. But I didn’t know there were going to be a thousand little girls named Kelly right because that is such a masculine name in Ireland and he’s got five girls in his first grade class that have the same name so he’s going, why did you give me a girl’s name?

AM : It is a stressful process because you have to think of all the bullying that could potentially happen with your child’s name and I mean I can’t imagine if the kid’s name is Umbrella.

CF : By the way, my name was Candy House.

RK : There was a kid in my Elementary School whose last name was Poopus.

AM : That’s really sad.

CF : I lived next door to Crystal Chandelier of the Learjet family

AM : You’re making this up

CF : No I’m not, and King David, and Jay Bird lived two doors down from me, I mean give it up.

AM : And now you fuel it with social media and forget about it! I mean that’s why people change their names.

CF : I use my first legal name which is Heather and my maiden name on social media because I had five or six thousand – I had fourteen thousand people on my Facebook and I’m not gonna put my kids playing downtown theater so I finally had a little picture of me with my horse when I was five and so everybody thought what is a small child doing on Facebook and they finally got tuned to it but I cut the social media off quickly because of four – five thousand letters every six months. Why won’t you help me? Why won’t you get me on the show? What made you not answer me? I got it originally because A&E made me but they were maintaining it. They weren’t really giving questions and answers but I did give the general number to where you could apply if you wanted to be on the show but make sure you know what you’re doing.

AM : That must have been so difficult for you knowing that you come from a place because you love helping people and you’re doing this for the right reasons.

CF : 95% of everybody that went on that show was so lost.

RK : What was your intention for creating that show? I didn’t create it – I became one of them. It’s when you meet somebody, first of all in recovery, and second of all who’s authentic, you can really see through people in the darkest hours of their life and I just made sure that they were very clear that I was the voice and the feeling behind this but then I brought somebody much bigger than I am into that room to help them. Love and God are not going to save the person that’s dying – you are, by acting differently. They’d go, we prayed to God and he brought me here. And I don’t mean it in any other way other than that it’s incredibly spiritual work to me. I mean these people are dying and I have to say to them you can baby them and bury them but don’t call me. And many times when I’ve got a really tough one I’ll just say let’s calm down, let’s quit arguing, get a piece of paper, get a pencil (I’ll hand it to them) and go, let’s plan your funeral because you should have everything you want.

AM : Wow, that’s profound.

CF : And I said so, what’s your favorite flower and please not No Tears by Eric Clapton because that’s been done.

RK : What is typically their response to that?

CF : They have none. Amazing Grace.

AM : Amazing Grace is usually the number one song?

CF : I mean if they’ve been at church. I mean these kids usually went like yesterday or something like to some Metallica thing or something so I just say there’s no way out of this. You’re not gonna stop, you’re only getting worse but I will tell you the consequences for you not going today. I’m going to make sure that everybody sticks because I don’t write letters, I do statements.

AM :  Your process – what goes on in your mind? How do you stage it, like the basics? What does it look like to bring you on board on a case and what’s your stuff?

CF : Tell me the truth and then I’ll teach you how to lie to your kid long enough to get them in there.

AM : Wow, that was again, simple but amazing.

CF : I mean I’ve had people, very well-known actresses come here because they want to talk to you about a script. Any parent in the world, we’d like you to come over because we have birthday money for you, I mean whatever.

RK : Oh my God, I remember when my parents did mine, I was so devastated because they knew how to get me. My parents are divorced but they’re still best friends and I was sleeping at my dad’s house. My dad’s like, “Hey we’re gonna watch 24 together, just me, you and your mom, and I was like “oh my God, oh my God, it is so exciting, I love 24!” Watched 24, woke up the next morning, “hey do you wanna have some breakfast together?” “Yeah sure, I’d love that,” and then they just laid down the hammer. “I’m taking you to treatment” and they had to lie or I would not. Of course they had to lie by having that family experience for me because I love being with my family.

CF : And I’ve had great situations. I had the woman that walked in and she goes, “Is it my birthday?” I went “yeah it’s your birthday. It’s your rebirth day.” I’ve had people going, “Who’s that guy?” And they go, “I was married to you.” I could write a book on the hilarious things that have happened. People walking and going, “I thought you were dead.” I said No.

RK : Have you ever had people be violent with you?

CF : Yes but I’ve left two treatment centers – I mean when I was taking them to treatment I knew that one of them had a knife. I had them searched and this was before we got to the airport. I let people get high before they get on a plane, I buy them their last drink. I’m not God – just getting them where they need to go and I don’t want them to start going through details.

RK : It’s emotional that you say that.

CF : Because I don’t want him to start going through details. They go, you’re gonna buy me my last drink? 80 dollars later I go, I think you’ve had your last thousand drinks.

RK : So when you work with a client and their family you are typically the beginning of their treatment.

CF : Well I’m the introduction to “There’s help.”

RK : How long do you typically stay in communication with them after they go to treatment – residential treatment?

CF : Well, for the parents or the loved ones I usually have a closure situation. I don’t send people to any place that doesn’t have good treatment because I don’t want to have to follow them and hear all their bitching and moaning that the food isn’t good and I don’t like the girls standing. I send them to some place that can handle treatment.

RK : What do you think a good treatment center is? What do you think they provide? What do you look for when you send a client to it?

CF : Really, really good medical detox. I like medical detoxes that are on the facility because once they feel good there is a little chance at getting them to the next level. So like Betty Ford has the Ottenstein Center and they detox you there. And the same thing with The Meadows and other places. It’s not always possible but if you go to detox and you start feeling good why do you want to go to treatment? You gotta get up, go someplace else, start all over again. I absolutely insist on gender specific treatment – really important to me because I think women have much different issues than men and who’s the next victim when you go to co-ed?

AM : I couldn’t agree with you more than men with gender-specific programs.

CF : I like people who really know what they’re medically doing as far as detoxing benzos and because it’s not a seven day turnaround.

RK : Do you feel that you feel that people get money hungry? Who come into this field really genuinely wanting to help people and then they start making a lot of money from the work that they’re doing and then they lose all sense of morale?

CF : Well I have some other thoughts too. A nice kid whose parents have money, never had a job, might have gotten out of high school, maybe yes maybe no, and they’re now sober six months and let’s get you sober living, let’s get you a treatment center, we’re off and running. There’s an adolescent treatment center that the guy just sold for 1.1 billion dollars so it’s big money.

RK : If they go to a treatment center and they feel it was successful what type of care do you think they’re getting?

CF : 90 days, repetition, first month teach them the 12 Steps, teach them about and the anonymous programs. Second one to have them start working them. But this isn’t the only time you’re going to do this. You’ve got to get a sponsor. I’m not a big proponent of getting a part-time sponsor if you’re out of the city or if you’re in another state and they go you can get a make-believe one. Just get your own.

RK : And what about for the people that don’t do 12 steps or they’re opposed to it and what are the other options besides 12 steps that you find are beneficial or helpful?

CF : Buying a horse. I mean I think that there are some decent ones. Modern Management or whatever that was where you could have two drinks on Thursday and four drinks on Friday and the woman ended up being drunk and killed a daughter and father and ended up in jail and went to 12-step. I don’t think there’s any such thing as moderation of anything but I think that there’s some programs I’m sure that can help. They just don’t have a spiritual component.

AM : So are you saying anything that has some form of a spiritual component? There’s Refuge Recovery, there’s Celebrate Recovery.

CF : I don’t think that they are proven as much as AA but here’s the real truth for me. I don’t want a treatment center that is run by 12-step. I want them to have the philosophy. I don’t want anybody to have to go to 12 step. I was just talking with the treatment center and they said mandatory 12-step meetings. I said, “my good fellow, that’s against all principles and traditions of AA. And he said, “What do you mean?” I said, “You have to have a desire to go to a 12-step. Nobody can make you do anything and when you do it’s because you don’t have a program.

RK : Do you feel a program is a way to keep people accountable to their personal growth, for their spiritual elevation?

CF : I think it’s a way to get you off the street. It’s easier to get high in there now than it used to be. I think it lets you be not so isolating, lets you be with a bunch of people like you don’t get to brag how good or how bad you are. Although it is difficult if you’re an older person and an alcoholic and you’re rooming with the 21 year old heroin addict I would like you to be able to at least try to get a community. I think you’re taught things. We did the thing where this is a disease and you’re not a bad person, you’re a sick person. And I I’m okay with that but how about, “you’re mentally ill?” I mean, you don’t get up every day and almost kill yourself when you’re stable. And then eventually it came around that this was a brain disease but it wasn’t before – it was totally physical and psychological. So I think that they need to know the facts. I used to love the treatment center that took them to the morgue but 50 or 60 percent of them in there was an overdose, homicide, suicide, drug overdose, and they all mainly had underlying drugs or alcohol. But they don’t do that anymore. And jails – visit a nice jail. Sit down with those.

AM : Experiential therapy?

CF : Well, reality. But kids don’t get arrested – nothing happens, especially like in L.A these days. So you can’t get any shock treatment out of it.

AM : I’d be fascinated to get your opinion because obviously you mentioned in the beginning that back in the day when treatment was just in its infancy it was a cash pay environment. You live in a world now where 95% of people in treatment are utilizing insurance.

CF : And every three to ten days they tell them that they have to leave. So who do you have in conjunction that is going to appeal and appeal and appeal and appeal?

AM :One of the main reasons we actually hired a physician in-house because honestly being an in-network provider with a lot of carriers we’re constantly having to fight and convince.

CF : Well, Betty Ford is now a 14 day Treatment Center and then they move over to Daisy Lane which is IOP and sober living. They’re not even really interested in fighting the fight.

AM : Yeah, we fight the fight. I mean, we’re a minimum of 30 days and residential detox minimum, I don’t care who you are. And then the outpatient’s six months. So for me it’s how can we be better in fighting the insurance companies for better coverage but now you tackle on because you’re talking about finding the community-based programs, finding a higher power, spiritual beliefs, so now I’m going to throw a screw into this plan. So you have let’s say United Healthcare – it is one of the largest insurance providers. They look at the statistics and they say we’re not getting anywhere with this. Let’s start pushing out MAT programs and unless you are ready to offer a suboxone form or maintenance program that’s methadone based or suboxone-based, Vivitrol whatever it is that you end up using, how do you balance the philosophy that you have (which I agree with) and now you have somebody on the line at an 800 number that’s telling you how this patient’s treatment should be run.

CF : I was in the very beginning of Buprenorphine when it was being smuggled into the country and it was working. I was the first recovery ambassador to Alchemy’s pharmaceutical company in Boston (it’s now in Ireland) for Vivitrol. I set up their whole pharmaceutical sales force and everything and everybody had to be in recovery. All of their original testing was for alcohol and they did it in Russia and then when the opiate came in it was basically Naltrexone and it didn’t last 28 days – it lasts 21. They paid me really well, I took a shot, it didn’t get me high. I went to the pharmaceutical place in Cincinnati, I was at a ton of training and it would have worked but just as it started to really work, now they want to take it into prisons. And they couldn’t stay little to get big, they had to get big. Insurance pays for us as long as you’re in a treatment center. They don’t pay for it if you go to a doctor but back East they have Vivitrol clinics and it’s paid for but it’s like 400 bucks. Who’s got 400 bucks? How long do you stay on it? Is it a six-month program? Because Suboxone was a 21 day program. You had to be trained by a doctor who would give you Suboxone. You could not dispense it if you had not been through this training and they had a whole bunch of incentives.

AM : It’s unbelievable. I started really about a couple years ago. I checked – there were about 960 Suboxone approved physicians in the state of California.

CF : There were 11 in the country.

AM : None of them had a clue. They were very excited to meet with me because they were like, “oh wow, so we can work with you in providing therapy to our clients who are putting these meds on?” and I was like, “Yeah, absolutely, we can actually create a cohesive relationship but 98% of the doctors I talked to had no idea about anything to do with mental health and they weren’t offering any support to their clients. They were just offering a drug. I mean it’s just fascinating and that number is going to be growing and growing.

CF : So that was the thing – you had to wait till the train was going to run over you and then you’d get Suboxone or Subutex. Now they carry it in case they can’t get a drug.

RK : So fascinating! If you had a magical wand

CF : I do have one

RK : Fantastic, is it Harry Potter?

CF : No it is pink and it has sparkly things on it

RK : Oh I thought it was the one from Harry Potter World at Universal Studios

CF : I always pass it around in my groups – I did adolescent groups for a year and I’d go, “Okay, here’s the magic wand. What are you gonna do with it?”

RK : So what do you want to do with your magic wand to the mental health industry?

CF : I want to provide enough good care at a reasonable price and have incredible follow-up.

RK : This is the frustration I have, is that it’s really hard to provide really good care sometimes if you don’t have money, so what do you do for those people that don’t have money?

CF : Go to DD Hirsch – it’s a wonderful place and I gotta tell you River Community is primarily mental health, it’s all Medicare and it kicks ass.

RK : Do you actually believe that you have to have money to go to some place that is helpful?

CF : Well, tell me because when Reagan was in office and let 1650 people go with two days of medication, some of them are still living on the streets of Los Angeles, you get somebody and you give them medication and how long till they go off of it? At least three weeks they’re gone and they don’t titrate themselves down. I would love to have a mental health center – it could even be named the Finnegan Center – I wouldn’t object to it – and I would do nothing but really good assessments so you don’t have somebody who is living off the quandary of I’m bipolar, versus No, you’re taking Adderall and benzos: same thing – bipolar. So I think that to get a really good assessment and then when you do spot neurological problems that you get an MRI. I mean a lot of older people fall and bang their head and then it looks like dementia, it’s alcohol dementia. There’s opiate dementia. What are we doing about that?

RK : So you’re saying a problem right now is the assessments are not complex enough?

CF : I don’t think they are – it’s 20 minutes.

RK : It drives me crazy. I had a male client one time and I’m not a doctor, but it’s just frustrating to me because after doing this for 13 years it’s the same story it’s the same pattern and it’s exhausting to experience because they’re not getting the they’re not getting the correct treatment and they’re being diagnosed over the phone. Within 20 minutes this male client was diagnosed bipolar with borderline personality disorder and I often find in this case and it sticks to them because there’s a part of them that goes, “Oh yay, finally found an answer.”

CF : And they can never ever get out of this. An interesting story as I had a 62 year old woman. She was a drunk like she’d been drinking for 40 years and she could still kind of walk at a very reputable treatment center and she had to do an assessment after the intervention. I was sitting right beside her which kind of helps if you can do one instead of weeks before and she said, “Oh I only drink two drinks.” I guess they were 58 ounces apiece, then she had two bottles of wine a night and they said, “Well, you don’t meet the criteria to come into our program,” and I’d grab the phone and I said, “What did you just say?” And she goes, “Well, two drinks – she doesn’t meet the criteria.” I said, “This woman just wet herself, she is a die-hard alcoholic. I’m sitting with she and her family. I can’t interrupt because of HIPAA during the assessment process and you just told her that she doesn’t need to come in. Who are you and what is your name?” She said, “Oh my name’s Vanessa and I have a book here that I have to ask these 12 questions and it’s California state law you have to do an assessment before they come in. I don’t work with anybody as an interventionist. I’ll sit with them for an hour after I get them to treatment and if they tell me they don’t qualify and I’ve done an intervention and I know the treatment center then I’ll take them back home or I’ll find someplace else but I’m not going to have them lie to you. Who’s doing these assessments? Or you’re hiring the people that graduated from your treatment centers where three weeks go by and they get out and they go to work for them. I think that you can have peers and you can have a community that comes in and talks to people and stuff that are newly sober but I don’t want you working there.

AM: What would you say is the magic number? What’s the magic time?

CF : For treatment?

AM : For us it’s two years of sobriety before you can apply for a job – not alumni just in general.

CF : Oh I want you to have a year of sobriety. It used to be at UCLA you had to have a year sobriety although I don’t know how you proved it – I guess brought over their chip or something, to be able to go to their school and you can have 20 minutes now, As you can see Ken Staley has his new certification and Sober College has a certification and it’s weekends and every other Saturday or so, I mean it’s some dumb thing and you get your CDAC. Then try to get a job someplace for 3000 hours. We have enough I always say, include your hopes and dreams and don’t say drug and alcohol counselor.

AM : So I have a I have my final question for you…

RK : We’re having you back Candy by the way.

AM : Yeah, you’re coming back because I can go on for hours. Taking what you know now, taking the knowledge you’ve had, the experience of what you’ve seen, if you can go back in time when you’re first getting started in this space what piece of advice or information would you give yourself?

CF : Don’t think you’re going to get rich. This is not a job. This is not a career. It is your life’s work and if you don’t care about every single person that you come in contact with, get out of here. I’ll show you the door. Get some intervention training that has to do with a spiritual connection of working with dying people. I took a hospice course – it really helped.

RK : Where could people go to get really good?

CF : The Johnson Institute is owned by Hazelden now and there’s some reputable places but you could take the three-day class and hang your little sign out that you’re an interventionist. There are a few organizations that don’t mean much. CIP is a certified intervention professional and there’s a BRI board registered intervention that went bankrupt and then people make them up all the time and give you certificates for them but you, by spiritual connection, need to go and get your CADC, get some education and go to an addiction studies college and or one that has a course – Pierce’s excellent with Alan Glass’s A Dream Come True for me. He won’t teach intervention but he asks me to come in every semester and explain it and do a mock one but he said I’m not teaching this in this school, are you crazy? And because you don’t have any criteria that you can turn people down. I would hate to be a minister and not believe in God.

RK : Well, to speak to that a little bit and then we’ll wrap it up. I really want this podcast to be a place where people in this workspace can come and listen to and gain knowledge and gain support. Because honestly, unfortunately I think there’s a lot of unwell people that work in this field. I don’t mean to say that to put people down. I have been very unwell in my life, I’m not a saint. I’m constantly doing inventory on myself to make sure I stay aligned to my values and my purpose and I am constantly seeking my spirituality and I’m in therapy constantly. How do you stay mentally and emotionally sane? How do you stay close to God?

CF : Oh my God, I’m not kidding Rachel, I think I’m one of the luckiest people in the world, that people trust me and they call me at their lowest possible. Can you help me? And I will never say no. I might not be able to but I had a woman call a couple days ago whose son is very very mentally ill and I said, “Here are some numbers. I’ll call them first, I’ll be on a call with you so I can explain and blah blah blah blah blah.” He’s living in a tent in a park and it’s lucky that she does have some money because then we can go out and try to see where he is because he’s been in and out of 5150s for I don’t know maybe two or three years. She said, “I just can’t let him die out there,” and I said, “You’re not kidding. I’m so grateful you called me.” I mean I worked 24/7. The last couple of months my husband was so sick I had to cut it way back. By the grace of God everything was really cut back for me just so I could take much more attention of him and take care of him, but the truth of it is that my God, I never dreamed I’d have a life like that.

RK : What is something you do for your self-care every day?

CF : Ask God to let me do the right work and think the right thing. I’ve probably done thousands – people ask how many interventions have you done and I said, “Why would I know? I have no idea, I really don’t, I have no idea. “What’s your success rate?” and I said 100% because if I get in your family you’re gonna change. Getting them to treatment is not the success for me.

AM : I love it, for everything that you’ve seen, for everything that you’ve done, for everything you’ve been a part of, the fact that you’re able to stay so humble through this in an ego driven industry. that’s inspiring.

CF : When you asked me how I became this, it picked me. Am I the girl that’s gonna keep a secret? Am I the girl that you’re going to ask to come in their family and really, honest to God, air all your dirty laundry? And some of it’s hellacious. Am I the one that’s gonna go in your family and care about you and I don’t want your person that you love to die? Yeah I am. How I got here was I got sober, I never looked back, I looked up, not down, and I knew I had to help somebody in a real strategic manner to be able to keep my own recovery. Recovery comes first to me. Not always – in the last couple years it’s waned but I go to three meetings a week because I don’t know which one I need to be at. I still am a deep believer of The Big Book as a textbook. I wrote a book called When Enough is Enough because there isn’t any way anybody can’t do an intervention and it’s a comprehensive guide to doing an intervention and there isn’t any reason.

AM : Where can you purchase it?

CF : Amazon and you can get it used for $1.50.

RK : Candy, you are an absolute joy and I look at you as like a mentor. I know we’re still getting to know each other but I really appreciate all of your words of wisdom and everything, that you just stay so loyal to your truth and even though people may get mad at what you have to say I love that you say it anyway because you’re really someone that fights for people’s lives.

CF : I have to fight for them until they can fight for themselves. Well, both of you are heroes in this too. I mean, we have to be warriors at this point because the war keeps coming and I keep having to change the way I act and change the way I do but I’m never going to change the way I feel. Because what if I don’t do what I’m supposed to do? Same thing with both of you. Podcasts are a wonderful way of of intervening on people without having to go through the process because it’s a learning. Podcasts should be a learning process that someone can listen to and walk away with it with a new idea or a new feeling. It’s a wonderful medium.

AM : I can I can’t count how many people are going to be like super excited about this one

CF : And she only says [ __ ] four times

AM : I gotta applaud. You manifested that before the podcast started.

CF : I don’t like bleeps.

RK : Candy, thank you again. I adore you, I love you, I appreciate you so much and for everyone out there, thank you for listening to another episode of GOT Mental Health with myself, Rachel Kove and Arthur Mogafliti…

AM : Mogilevsky, Rachel

RK : Okay and please go to Apple podcast, rate, review and follow and we look forward to your feedback. And next week we have a new episode, thanks guys!

How to Combat Trauma and PTSD in Military Veterans

veterans addicted to painkillers

Most people that experience trauma probably experience it when they’re younger, when there’s some kind of abuse when they’re children, and it gets stuffed deep down and it starts coming up and it impacts them as people grow up and get older. In the case of military veterans, in many cases, trauma comes from combat, and the things that they have seen in combat themselves.

Suicide is a huge problem in the veteran community. Taking a look at the numbers of how many people were lost in combat in Iraq and Afghanistan compared to how many suicides happened since those wars started, there have been seven to eight times more suicides compared to combat fatalities.

 

Increased Awareness of Mental Health Issues

 

One of the biggest reasons why the suicide problem exists is lack of awareness by the veteran population or in that regard anyone who’s having any kind of mental health issues. There is a lack of awareness of signs and symptoms of when it is time to take care of what’s going on in your mind. Unfortunately, the impact of neglecting mental health happens so slowly and over time that you don’t notice your life falling apart until you find yourself at the bar at the rock bottom with addiction. All of your relationships are broken and by the time you realize that there’s a problem it’s sometimes too late.

We should talk more about these issues so that other people can recognize the signs and symptoms in themselves or their loved ones. It is important to raise awareness so people catch themselves before they hit the rock bottom because the sooner you address these issues the easier it is to overcome them.

In general, people are more aware of PTSD (Post Traumatic Stress Disorder) and TBI (Traumatic Brain Injury) now, and the U.S government is trying to address these issues by providing more education and support. However unless it affects someone personally, they are completely unaware of how to take advantage of those support systems. This problem is amplified in the Armed Forces where they are expected to be physically and mentally tough. There is a lot of stigma attached to appearing weak or vulnerable, especially in men who take pride in appearing strong. There is also stigma associated with mental health treatment, which is why it is important to continue conversations to increase awareness.

 

Signs and Symptoms of Trauma and PTSD

 

Many people mistakenly think that PTSD looks like waking up from nightmares screaming. However, trauma, PTSD and traumatic brain injury can manifest in many forms, and in several signs and symptoms.

Some common signs you may not recognize as trauma:

Anger
Anger may be a red flag that is not often recognized or associated with trauma. It can manifest in road rages, bar fights, family relationships and work situations. The inability to manage anger could be a potential sign indicating mental health issues.

Stress
Stress is one of the words in the acronym for PTSD, a condition that is defined by the stress of experiencing a terrifying event, and being triggered by it in flashbacks, nightmares and severe anxiety. Stress can manifest in the form of anger, anxiety and the inability to handle daily life situations.

Sleep Issues
Sleeplessness, insomnia and other sleep disorders are a common occurrence in people who are suffering from trauma and PTSD. Lack of sleep can then lead to other mental and behavioral issues that end up affecting other areas of life.

Addiction
Many veterans start using substances to cope with their anger, stress and anxiety, and eventually become dependent on the substance. Very often, veterans suffering from addiction do so quietly and in desperation.

 

Suicide Ideation

 

Thinking suicidal thoughts and attempting suicide is not uncommon in trauma and PTSD patients. It is not often obvious to the people around them but seeking help immediately is imperative in this case. There are suicide hotlines, and crisis management hotlines that can help.

 

Treatment for Trauma and PTSD

 

  • Therapy is by far the most important and effective treatment, especially as a first step. Talk therapy, combined with other evidence-based modalities such as Cognitive Behavioral Therapy (CBT) and Eye Movement Desensitization and Reprocessing (EMDR) have been shown to be helpful.
  • Medications such as antidepressants and anti-anxiety drugs may sometimes be prescribed but it is best to use them in the short term in order to avoid other complications that could arise from long term use.
  • Stellate Ganglion Block procedure, which is an injection to the amygdala is a relatively new experimental procedure that may be effective in providing relief from stress and tension in some people.

While there are many other forms of treatments such as ketamine treatment, Ayahuasca psilocybin treatment, ketamine treatment, somatic experiencing, and various others, it is best to work together with your doctor to find the right approach for you.

 

Self Care and Wellbeing

 

Treatment can provide relief from the effects of PTSD and trauma, but for the long term well being, physical, mental and soul level self care cannot be denied. Each person can experiment and develop their own self care tool kit of things and ideas that can help them recover and stay healthy.

Here are some ideas:

  • Physical exercise such as running, workouts, or even walking and yoga
  • Finding your tribe, whether it’s Jiu Jitsu, or skydiving, or a veteran community
  • Nutritious diet, since we feel the way we eat and what we put into our body
  • Journaling can be a great way to process your unconscious mental patterns
  • Track progress, not perfection. Every little thing can mean a little more progress

The importance of small things cannot be overstated in one’s journey to recovery, and then to stay sober and healthy. Do the small things and you will see change, you will see progress.

The Role of Family in Recovery

Why You Should Consider Alcohol Detox Centers in California

Ethnicity and cultural issues are something that we need to be very competent with because that’s going to be different for everybody and families are different for everybody.

“If you want to find out everything about yourself, find out everything about your parents, your grandparents, find out the kind of cars they liked, what kind of food they liked, all of that.”
-Alice Walker, The Temple Of My Familiar

The connection back to our parents and grandparents for us and working with families is slow steady progress.

Education for families:

  • They didn’t cause the illness
  • They can’t control it
  • They can’t cure it
  • But they CAN cope!
  • And learn new ways to connect as a family

The families that are striving to look good don’t like to talk about how hurt they are, how sad they are, how scared they are, and how angry they are. But we don’t label them, or pathologize them. Let’s talk to them as they are real people with real hurts, pains and real skills.

At Betty Ford, there’s something called the opening circle where each person addresses 3 questions:

  1. Who are you here for?
  2. What one incident during your addiction impacted you?
  3. What would you like to get out of family week?

Falling apart families are real too, their hearts have been broken, their trust has been broken. So they need to be lifted up and given some skills.

 

Restoring Connection in Families

A lot of people, when they come into the treatment center, are smiling, saying “I’m doing great, how are you?” and then they go home and drink themselves to death or they have an inability to
connect with their kid, or they’re making millions of dollars but they literally have no idea what their kids passions are. They’re killing themselves and we need to be honest about that. Suicide rates right now are especially high since Covid-19.

We, as humans, are innately designed to connect, especially with family. So how do we restore a sense of connection in a family where there has been substance abuse, codependency, sex addiction, eating disorders or other mental health issues?

STEP 1: Identification
If there’s a father that doesn’t recognize that they even have a problem, they may be completely disconnected. Depending on where they come from culturally, they could think, “my job as a father, the way I connect is to provide for” and not even be aware that there’s an issue. So the first step in restoring connection is to bring it to their awareness. When a family member is not aware, the counselors, therapists, or coaches can help by gently inviting them to explore in what way they see their loved one, what has happened with their loved one that they’re concerned about. And then that opens a door to the parent recognizing that there is a behavioral change that they’re concerned about.

STEP 2: Communication
The starting point to restoring connection is to be able to sit down with the family and learn to communicate. You could use something like a “feeling formula,” for example, “I felt sad when you relapsed again because it scares me to think I’m going to lose you and I wish you would get help for your alcoholism or your drug addiction.” So the person who the family member who’s speaking from using I-messages and using feeling language and non-accusatory once they learn I’m telling you once the family members start to learn that and start to practice it it does make a difference and I’m sure you’ve seen it too where that little communication starts to build trust.

 

Identifying Behavioral Patterns in Families

Very often, families resist going to treatment for their family members because parents especially are so worried about being blamed. When we look at all the old films and TV and books everything goes back to – in a therapeutic setting – going back to the mother, or the father, but oftentimes a mother. And that parent is now going “Oh God, okay you’re going to therapy, I know it’s all my fault.” So oftentimes they don’t want to engage. They get defensive.

Therefore it’s really important to help support the family and have everybody take a look at what their part is in the family system. How do we unknowingly perpetuate the system?

In family therapy groups, the parent can learn to talk from the I-language, for instance, “When I yelled at you and blamed you for… [fill in the blank] I really pushed you away and then of course I didn’t cause you to pick up a drink or a drug…” but that was that person’s go-to. The drug or the drink was their solution. And then the alcoholic/addict would listen and then they would also talk about what they did – “Yeah, every time this happened I would use and I would be mad at you, you didn’t bail me out of jail and I’d be mad at this…” and so forth. So everybody just owns up to their own behavior, what was going on with them at the time and then they would come to, “Okay, now we need to do something different,” This is the beginning of how each person in the family can recognize their part, and begin to learn new skills around how to communicate better.

 

Regaining Trust After Recovery

It takes a lot of inner work on the part of the person who is recovering, but also a lot of inner work on the part of the family member to recognize that defensive actions are not personal, but that they arise out of hurt and broken hearts.

Oftentimes, patients ask how they can bring their wife to family weekend, or the Al-anon, and how they can get their parent or partner to trust them. It is really difficult for family members to trust someone after years of drinking or using drugs. The only way they can rebuild trust is to show up consistently, show up for themselves, as well as for their family. Going to treatment doesn’t automatically make everything ok. The family is still left behind and may not be ready yet to accept and make changes. There’s different people entering recovery at different stages and ages.

With encouragement, education, and helping to understand the difference between addictive behavior and the essence of a person, family can slowly and steadily learn to trust again. Helping a family member understand that when the addict in the relationship strikes out they’re striking out because they’re trying to survive in their addiction, they can see that it’s not personal – it feels personal but it’s not personal.

An important thing to remember is to help families and clients to understand that they’re not going to get all their needs met with one person or one family member or a sponsor or a counselor.

“I let go of my need for esteem, control, affection, security and power. I embrace this moment as it is”
-Thomas Keating, The Divine Therapy

The first few steps in any 12-step program are about surrender. As children growing up, or parents who have their own children, they depend on the parents for security, esteem, power, control and affection. And you have to get those needs met when you’re a child. None of us got all of our needs met when we were children – there’s nobody that has, even in even-keeled families without addiction or mental illness issues. When we’re reacting to things in the present moment it’s because we want esteem, control, affection, security and power. This is a great mantra to repeat when we feel the need for wellness.

Understanding Family Recovery

beacon

Hello everyone and welcome to the GOT Mental Health podcast. I am your co-host Rachel Cove. I am a multi-passionate entrepreneur, author, artist, mother and Certified Recovery coach.

I’m your co-host Arthur Mogalevsky, entrepreneur, girl dad, animal activist and owner of AM
Healthcare, a premier substance abuse and mental health treatment program.

With the collective experience of 21 years working in the mental health field we are excited to bring to you a safe and fun place to talk all things mental health. We will be interviewing experts, thought leaders, entrepreneurs and professionals in the entertainment industry to better educate, inform and inspire our community to have positive mental wealth.

RC : Welcome back everyone to the GOT Mental Health podcast today. Our incredible guest is Mary Gordon. Mary is a master’s level licensed advanced alcohol and drug counselor, an internationally certified advanced alcohol and drug counselor, and a skilled dance movement facilitator. She works with professionals and organizations on developing programs focused on family recovery from addiction. After a move across the country Mary continued her career at the world-renowned Betty Ford Center in Rancho Mirage, California where she worked as a counselor and most recently as the Director of their critically acclaimed family and outpatient program. In this role Mary expanded and developed programs focused on resiliency and recovery. Mary retired in 2015 and established Inner Direction Recovery, which allowed her to broaden her scope of practice. Mary provides counseling and coaching to a variety of clients, including family members who have a loved one struggling with substance use, individuals embarking on a sobriety journey and people who need to reinvigorate their approach to their own wellness. Mary provides Women I Am renewal retreats, a spiritual experiential process based on a feminine perspective of recovery. In addition to working directly with families Mary provides presentations, workshops and staff renewal retreats to professionals and organizations. Welcome to the show, Mary Gordon!

MG : Thank you so much Rachel!

RC : Our schedules have finally aligned where we can make this happen.

MG : Yes thank you so much. I’m so glad to be here and thank you for the work that both of you do in this field. We’re all in this together.

Lori : We are in it together and thank goodness, I think I can speak for you as well, we love it, we absolutely love it. And I gotta tell you, Rachel just read your bio, it’s impressive.

MG : Oh and thanks, yes we just keep hanging in there and as we talk with each other today, I know you’ll have stories too, but some of the stories of the different families in rural Maine as well as the families out here and the continued effort for the wonderful people that we all meet that are challenged by mental health issues and addiction issues and certainly during this pandemic, wow, another big hurdle to overcome and start to heal from that isolation, etc. So here we are.

RC : Here we are, and I can’t wait to get into this discussion because a lot of families listen to this podcast. Lori has been working with families for over 30 years, I’ve worked with families, I’m a part of a family, we all come from a family, and I want to be able to provide families with tools and with skills on how to create more harmony and positive change and long-lasting effective change, not just like short-term change but long lasting change where people can be excited to be in their family again. I feel like there’s this negative connotation now to family. I mean even think about the holidays…

Lori : Uh I’m going back to see my family…

RC : That’s right, that’s right. I mean, wouldn’t it be nice if we could really create an environment again with family where it becomes a really positive loving happy harmonious experience?

MG : Yes and may I interject something here about one flashback of this experience at the Hope House in Bangor Maine which was a treatment center for people on the street – homeless people – “three hots and a cot.” Basically they did the back and forth. When I first started working there one of the gentlemen that (and I can’t remember his name right now) took me to where the clients that we were going to be working with lived and he said, “Get your big warm coat on and your boots Mary” (because remember it was Maine) and let’s go out. And we went out and he took me to a place called The Pines and there were the tents and the different things for homeless people and he said “So keep your expectations low and your acceptance high and remember that they all come from a family.” It gives me goosebumps to think about it now because that was my early training in substance abuse counseling. I had moved from being a teacher in schools in rural Maine to then my own recovery and then getting my Master’s Degree etc. like all of us, we have a journey in our education and support. And my first family group at the Hope House was a circle of all the clients there and of course most of them were not connected to their families obviously at that point. And I remember this one gentleman I started in as if you know I’m talking like I know what I’m doing – here I am, you know I’m a new counselor and I’m I’m talking about families and of course it strikes a chord, a heartache and a pain for clients that are living in the streets and living in tents and so forth. And anyway, I said whatever I said at that point, this guy got up and we were in a big circle and I was the only counselor in that big circle – I think there might have been 20-25 clients there. He stands up and he picks a chair up and he throws it across the room and you know I stopped. I paused and I remembered not only my training but the heartache that it is for anybody who loses their family. I said, “What can we do to support you right now?” and he started to cry. You know it now but sometimes what we would do of course we keep them safe but sometimes what we might do is criticize or judge or say “What’s wrong with him?” and then do a big diagnosis of this guy. This guy had lost his family due to his addiction due to his mental illnesses and he was living in the street and he’d lost everything so of course he would be enraged and at a loss. So that was very enlightening for me Rachel, to hear and see and be a beginning counselor in this field. From then on I really learned the richness of that experience really helped me when I moved across the country. I mean it was like what a contrast working there and then I also worked for the state and then moving out to Betty Ford Center and doing the work there which was a whole different clientele, so quite a change

Lori : Oh yeah and it’s interesting – at Betty Ford you had the families for the most part, I think if I remember right, at Betty Ford they have to participate – it’s not even a choice, so the families are nowhere around and actually what I’m wondering about and I don’t know how how kind of deep you want to go into this – in that environment did you see the homeless creating and developing their own family systems?

MG : That’s an excellent question Lori, because first of all (and I’ll switch to the Betty Ford family program where no, they were not required to go but we’ll talk about what that was) but going back to Hope House, no they had no family so they had created their own community of course and their own survival skills and so we created within the Hope House and we had regulars that would come in, they’d come in, they might stay clean and sober for 90 days, sometimes people made it six months and one of the counselors there who worked there had been a homeless person and he stayed clean and sober and then he became a counselor he got his license and became a counselor there. But what we would do is help them to see that community is family too and how to reconnect with a family that is sort of disowned you and said we don’t want to have anything to do with you, now some of them were able to reconnect maybe not in the way that was sort of you know how we would think of it as living back with them or reconnecting and meeting with them but in some meaningful way to them they were able to. Some of them, if they stayed alive. My friend George, the counselor that I said that had been a homeless person, I had just I call it my adolescent purchase – I had just bought this second hand Toyota which had rear-wheel drive – not a good thing in Maine to have rear-wheel drive because of course the snow and the ice. But anyway he was going to go talk to a school department about the issues of addiction so he said to me, “Yeah Mary, I don’t know how I’m going to get up there,” and I said, “You can borrow my car – I’ll give you the keys.” He looked at me stunned because you know he’d been homeless. Here he was working as a counselor just getting his life back together getting a driver’s license but not having a car and here was someone saying, “You know, yeah you can use my car, I trust you to do it.” He could not even believe it and he had to go to Northern Maine and talk to the kids. Then he came back and gave me the keys back. He said I could have stolen your car. I said, “I know, but I trust you,” and that’s that whole thing that we all get. We start to help them to build trust with each other and then the family started to trust that they’re going to do what they say they’re going to do, so that’s a long road.

RC : Yeah I’d like to start from there so everyone comes from a family, we are all families, families have their ups and downs. Do you think that in our society the pressure to look like you have the perfect family causes some serious mental health issues?

MG : Yes, let’s just talk about what I’d like to say about that is – ethnicity and cultural issues are something that of course we need to be very competent with because that’s going to be different for everybody and families are different for everybody. One of my favorite quotes from Alice Walker’s book, The Temple of my Familiar was, “If you want to find out everything about yourself, find out everything about your parents, your grandparents, find out the kind of cars they liked, what kind of food they liked, all of that.” And the connection back to them for us and working with families is slow steady progress. First of all the education that we do to teach families that they didn’t cause this illness, they can’t control it and they can’t cure it but they can cope and they can learn new ways to connect but your question about looking good – yeah we used to see a lot of looking good families that would come into family program at Betty Ford Center. When I say looking good, they wanted to not talk about how hurt they were, how sad they were, how scared they were, how angry they were. Now here their patient is in treatment or the patient is getting treatment either at Betty Ford or someplace else because we didn’t just have family members from Betty Ford Center, we also had other treatment centers that didn’t have a family program that sent their family members there. But that connection was broken so one of the first things I talked with my staff about and we really over and over again in our team meetings would talk about and that is let’s not label our families. Let’s not pathologize them. Let’s talk to them as if they are real people with real hurts and pains and real skills. Some of these skills don’t work when it comes to recovery so how are we going to do that? So you know after the first opening circle that we would have at Betty Ford people would talk about – the three things that they talked about was 1, who are you here for, 2, what one incident that during their addiction that impacted you, and 3, what would you like to get out of a family week? So we put it back on them for the opening Circle and some people just were so relieved to have a family member or their patient in treatment that they wanted to look good like you’re saying – “oh everything’s fine now, they’re in treatment,” instead of “well I’m I’m so sad” or “man I’m so glad they got here” or “man I’m so pissed off at them.” It’s really a mixed bag Rachel of looking-good families and families that are obviously at the point where they’re really kind of falling apart. I like the falling apart families too because what they’re doing is they’re being real, their heart has been broken, their their trust has been broken and they need to be lifted up and and given some skills.

RC : Yeah and I think it’s important to to see that everyone has a different story and I guess I speak to the families that present like everything is okay because I’ve worked with a lot of people that come into work or into some type of community and they are smiling and they say “I’m doing great, how are you Bob?” “oh I’m doing awesome, how are you? oh I’m fantastic” and then they’re going home and they’re drinking themselves to death, or they have an inability to connect with their kid or they’re making millions of dollars but they literally have no idea what their kids passions are. They’re killing themselves and I want to be honest about that. I mean suicide rates right now are so high especially since Covid and we have to we all want to love our families, we all want to have connection with our family where we are innately designed to connect, especially with our family. So how do we restore a sense of connection in a family where there has been substance abuse, where there has been codependency, where there has been sex addiction, where there have been eating disorders, where there have been mental health issues – what is the first step to restore a sense of connection?

MG : Well, I think in the case of an organization that has some kind of a family group (we had the gold standard at the time of five days with families – five days with just the families there. I haven’t heard of that recently I don’t think any place has the luxury of that anymore), I think the starting point is the communication and being able to sit down with the families and start with communication skills with them and teaching them how do I talk about my feelings, giving them a specific up. We used to call it the feeling formula and I’m sure you use something like this – “I felt sad when you relapsed again because it scares me to think I’m going to lose you and I wish you would get help for your alcoholism or your drug addiction.” So the person who the family member who’s speaking from using I-messages and using feeling language and non-accusatory once they learn I’m telling you once the family members start to learn that and start to practice it it does make a difference and I’m sure you’ve seen it too where that little communication starts to build trust.

Lori : Well it’s interesting – so I think there are a lot of families that can start there and that’s where it starts. I also see a lot of families where there’s a step that has to happen before that where there has to be the identification. There’s an issue there. You’re talking about the father that doesn’t recognize and I think that a lot of times I don’t even know that they even know there’s a problem, I don’t know that they know they’re disconnected. There are some that do, clearly, but again depending on culturally where you come from and how you are brought up… “my job as a father, the way I connect is to provide for” – that’s the old school. I don’t know that they’re always aware that there’s a disconnection, that there is a problem. So first and foremost I think bringing that to their awareness. You asked a question the other day when we were kind of talking about this is if it’s denial and I don’t always even think it’s denial, I think it’s just being unaware.

MG : Yeah I like that Lori, I like what you’re saying about that. Okay so if we don’t want to use denial we can use unaware. We can also talk about the fact that what you just described – let’s say culturally – because I work with different cultures in different settings, not just at Betty Ford where for instance it was the Native American culture back in Maine I did some family work on the island with the Penobscot Indians. Now first of all, it was very, very different for me as a white woman to go in. I had to get permission from the chief and the whole council to go in and then I had to talk about my perspective and I had to of course acknowledge that I’m not going to know what native traditions are and of course study some of that. But the awareness that you’re talking about is when a family member is not aware of us as working with them, as counselors, as therapists, as coaches is to really very tenderly, not try to break that awareness but gently invite them to explore in what way they see their loved one, what has happened with their loved one that they’re concerned about. And then that opens up something. “Well I can talk about my son who used to be really a very punctual person and he was a hard worker but I don’t think he has a drug problem or I don’t think he has a mental illness or I don’t think he has an alcohol problem but at least the door has opened a little bit to the parent recognizing that there is a behavioral change that they’re concerned about. But they’re holding up that protective wall that you talked about Lori, they’re holding that up and they’re saying “I don’t know about this, it’s scary.”

RC : It is so scary and how much more vulnerable you can get than doing work with your family and I think one of the things I wanted to ask you was a lot of parents come into treatment programs and their kids are the ones that are in the programs. How do you take responsibility as a parent for what you’ve done to contribute to the behavior or the substance? How do you start to acknowledge your own contribution and get out of this – whether it’s denial or being unaware – I think there needs to be a focus with families that everybody plays their part, everyone is playing a part in the system correct? So how do I start? How do you start to teach parents or family members to start to see how they’ve contributed to the substance abuse issue? Does that make sense?

MG : Well what I would do would be reframe that a little bit because one of the things that we see is that either people come in full of shame – the family members full of shame, or the other end of the spectrum is they’re shameless – they don’t experience themselves as in between being human. So the first order for us as counselors and coaches and therapists is to remind them that they did not cause this illness, they can’t control it, they can’t cure it but they can cope. But their coping mechanisms need to be different from what they’ve done. They can’t yell and scream and change the thing because that will just drive the person away but I stay away from blame. When you say “contribute”, what I would say about that (again, language is so important) is – “In what way did you feel yourself stuck repeating the same thing over and over again with your loved one who had an alcoholic drug problem or mental illness?” In other words every time they came home did you yell at them? Every time they were late for something, what did you do? In other words, have them look at their behavior without blame because it was the best they knew how to do during the circumstances of their life. When you know something different you do something different.

RC : Not always though. I appreciate you bringing that to my awareness that it’s important to have a different language around that because I don’t want parents to feel like they’re the ones to blame because I know even as parents – I’m a parent – it’s the first go-to is I’m gonna guilt myself for something that happened with my kid. So I love how you said that about gentle language.

Lori : Yeah I think too which a lot of families resist going to treatment for their family members is because parents especially are so worried about being blamed – I mean, you look at all the old films and TV and books everything goes back to – in a therapeutic setting – going back to the mother, or the father, but oftentimes a mother. And that parent is now going “Oh God, okay you’re going to therapy, I know it’s all my fault.” So oftentimes they don’t want to engage and so I think it’s like going back to what you were saying Mary, I think it’s really important to help support the family as well. But also getting everybody to take a look at what their part is. It’s looking at the system, the family system, and what is everybody’s part? How do we unknowingly perpetuate the system?

MG : So for instance how we unknowingly do this is one of the really important pieces of the family week at Betty Ford was the two days when the patients would come over and join the family. They’d participate in a lecture and the lecture would be on family systems and how everybody adjusts to addiction in the family – I’m sure you’ve seen that model before – you probably use some of that. And then they go into small groups and in the small groups each patient is with one of the family members, and if they have more than one family member they move to a different group. But let’s say they have one family member they’d be in that group and each one, the family member and the patient would talk about from the I-language, just what you’re talking about Rachel, “When I yelled at you and blamed you for… [fill in the blank] I really pushed you away and then of course I didn’t cause you to pick up a drink or a drug but that was that person’s go-to – the drug or the drink was the solution. And then the alcoholic/addict would listen and then they would also talk about what they did – “Yeah, every time this happened I would use and I would be mad at you, you didn’t bail me out of jail and I’d be mad at this…” and so forth. So everybody just owned up to their own behavior, what was going on with them at the time and then they would come to, “Okay, now we need to do something different,” and so now as a patient, I’m learning at interactions, I’m learning how to communicate better with you. And then the family member: I’m learning at the family group or the family week or whatever – I’m learning some new skills about how to communicate. Now of course I’m saying this as if this is sort of the ideal but we’re hoping that families can go away with some skills that they can immediately put to use and of course to support the community which we always recommend. We had Al-Anon come in and talk to the family members about what the participation in Al-Anon was. Oftentimes we refer family members, especially if there were a lot of things, going on to a family therapist to also work on other issues because you can’t get it all done in one week obviously.

RC : Yeah I love what you said Lori and I love what you’re saying Mary – I didn’t see it that way – that parents often avoid treatment because they don’t want to be blamed. I didn’t ever see it that way. So I think how I was trying to kind of phrase it was if parents and if someone does something that hurts another person – so if there’s a system and like you said approaching gently, but I think a lot of these kids or a lot of people who are in romantic relationships it’s like they want to say, “Hey your behavior hurt me,” so how do you teach people to communicate without getting defensive? Without people running out the door, without family screaming at each other, or Mom going, “Why didn’t you do that? That was your dad and you know I’m so busy with work how am I supposed to know how to do this? I’m the one that’s working all the time…” there’s so much avoidance of the truth because people are so defensive.

MG : Yeah because people’s hearts are breaking.

RC : Right, so how do you deal with broken hearts?

MG : Yeah, well you know people are going to get defensive. It’s hard to say to somebody but after people are in recovery for a while they can see it’s not personal what somebody’s doing to me – an act of anger or pushing somebody away (not physically, I’m not talking about abuse) but pushing another family member away in words or actions is not a personal thing – it’s because they’re hurting. That takes a lot of inner work on the part of the family member and of course it takes a lot of inner work on the part of the person who’s recovering but I would often have patients come up to me after I would do the lecture on the family for a couple hundred people that were patients that were there and talk about all the things that we’re talking about here and inevitably after the lecture it wasn’t always men but sometimes it was men how can I get my wife to come to family weekend? How can I get her to go to Al-anon? How can I get her to trust me? And I said “Well you know what, you’re not going to get her to trust you. Good luck with that! How is somebody, after years of drinking and drugging, going to trust you? They’re not going to trust what you say – they’re going to trust what you do. So if you show up for your life and show up for the life of your family they’ll begin to trust you but it’s going to take a long time. It’s not right away.” I can remember this one particular patient who was talking about “Well, I’ve just done 60 days here at Betty Ford Center and I’m sure I’ll be all right now.” It’s the sort of fantasy of going to treatment and now everything’s okay but the family is kind of left behind. My daughter who has worked with children in the children’s program – she used to always put it in the sense of – there’s different people entering recovery at different stages and ages. So let’s say the husband goes home and the wife doesn’t go to Al-Anon or doesn’t you know get any kind of therapeutic help, but he still goes to meetings and he still does some follow-up counseling or goes back to your place for aftercare and is doing the deal but the wife is not ready yet or she’s not willing yet but slow but sure usually family members will get on board with encouragement from others, not necessarily the other family members. But that’s inevitably what people want – to skip off into the sunset and live happily ever after – but it doesn’t happen that way.

Lori : Right, and getting back to your question too – I think a lot of times with the families a lot of it’s going to be education, helping them to understand also the difference between behavior and the essence of a person, who the person is. Somebody’s behavior when they’re drinking and using versus who they are when they’re not, and really helping them to understand the difference. What we were talking about in the last hour is survival and helping a family member understand that when the addict in the relationship strikes out they’re striking out because they’re trying to survive right now – they’re trying to survive in their addiction (RC: that’s so beautifully said!) and so then getting into what you said – it’s not personal – it feels personal but it’s not personal.

MG : Yeah and that does not mean that the recovering person who just went to treatment can get away with any behavior that they have. They have to be accountable for their behavior – just because they’re going to an AA meeting on a regular basis and they’ve got a sponsor and then maybe they’re doing some outside therapy and so forth so that does not give them license to come home and shout and holler at their wife, their spouse, their kids and say “Well I’m in recovery, I’m okay.” We don’t excuse that kind of behavior. They’re accountable for that behavior.

Lori : That makes sense. What we in old school called the dry drunk – the person that’s not drinking but they’re not actually changing behavior, they’re not changing reactions and responses.

RC : So for the people that are leaving the treatment center and they say how do I get my family to trust me again? What would you guys say? I’ll start with you Lori

Lore : Well, I would go back to what Mary was saying. This isn’t an overnight thing. “You know you’re gonna you have to be patient, know that you’re gonna have to change behaviors and you’re gonna have to be consistent.”

RC : I think consistency is key, wouldn’t you agree Mary?

MG : I think I consistently believe what they do, not what they say.

RC : And also though, I think for the families, the families are healing too – they’ve been a part of a system for a long time. It’s funny because when I spoke to you originally Mary and I said they’ve been a part of a system that’s dysfunctional you opened my mind to seeing it differently – that it’s not dysfunctional.

MG : Right – it’s the language – they’re functioning in pain – that’s what they’re doing. They’re functioning in pain. It’s not all bad in all families – sometimes it’s even keeled – there’s laughter and there’s family gatherings and so forth, even during the active illness and then sometimes it’s uneven and chaotic and very painful. So yeah, it really has lost its meaning anyway – dysfunctional – what does that mean? Dysfunctional – you know functioning in pain because you’re reacting to something. Like the family member that you mentioned Rachel, of taking something personally. It’s hard not to take it personally if somebody’s yelling at you or in some way criticizing you or judging you and it’s hard not to take it personally because we’re tender human beings. We have a heart, we have feelings.

RC : Well I think too, we’re gonna make mistakes and I think families have to have agreements put in place for what happens if you leave treatment and you make a mistake? And I think the client or the person who goes to treatment – usually they leave and they come out and they feel like everyone’s watching everything that they do and they feel paranoid and then they don’t get a break. So how do you set up a system for success when the person who went to treatment goes back home?

MG : Well I would have said people are going to be watching what they do, so you just tell them that. “Hey gonna be rough for a while they are going to be watching because you’ve lost the trust of this family.” Just tell the truth. Just because you went to treatment doesn’t mean you’re all of a sudden well. So your family does not trust you and that’s okay.

RC : What does “well” look like? What is a well-person in a family? [Lori: what a question!] What is a well-person?

MG : Go ahead Lori, what do you say?

Lori : Oh no, you’re the guest, I defer to you – what is it well-person?

MG : Let’s see Lori, when we’re thinking about working with patients but there’s some days I’m not so well because I haven’t gotten enough sleep, I didn’t eat, I didn’t do any kind of spiritual practice, I didn’t go to a meeting, I didn’t talk to support people in my community, I didn’t get exercise, so I might be off kilter. So then something that my husband or somebody else in my family says to me I take personally. It’s not them – they did nothing to me but because I didn’t take care of those things inside then I’m going to react to the person on the outside or blame them on the outside. You probably are familiar with Thomas Keating, the monk (he’s dead now) but he’s written a lot of books on addiction and there’s some YouTube pieces on him too but he did an interview with a long-term AA person and the name of the book is called Divine therapy and the 12 steps. And the AA person talks about the 12 steps and of course Thomas Keating is a monk and he talks about spiritual matters. One of the things that struck me and it’s the thing that we do when we’re working with families and clients is to help them to understand that they’re not going to get all their needs met with one person or one family member or a sponsor or a counselor. So he had one little phrase that he uses when he does his meditation – “I let go of my need for esteem, control, affection, security and power. I embrace this moment as it is” because none of us got any of those things totally met when we were children, adolescents, even young adults.

RC : I love this and because I want this to really resonate in people’s brains and have them retain it so say it very slowly.

MG : To the family members who may be listening in, if they just jot it down it’s the thing to remember, it’s a kind of a mantra to say to yourself when you’re feeling this way. I let go of my need for esteem, control, affection, security and power. I embrace this moment as it is.”

Lori : The Power of Now

MG : Here’s the thing about that. One of the references in this particular book, The Divine therapy is the fact that the first few steps of any 12-step program are about surrender and you see, when we’re children growing up and people that have families now that have little children for example, of course the little children depend on the parents for security, esteem, power, control and affection. And you have to get those needs met when you’re a child. None of us got all of our needs met when we were children – there’s nobody that has – I don’t care what kind of a family you come from, even if your family was pretty even keeled and you didn’t have addiction or you didn’t have mental illness in your family, you still didn’t get all those needs met. That’s why I love Alice Walker’s book where she talks about wanting to find out about yourself, find out everything about the generations before you, your ancestors, what they went through, and it gives you a picture of where you’re at. But his whole point was when we’re reacting to things in the present moment it’s because we want esteem, control, affection, security and power. And then you think about being a counselor or a coach or a therapist or an educator and somebody doesn’t agree with you, “Oh well, I let go of my need for esteem, power, control, affection and security.”

RC : That’s a really good mantra.

Lori : Well that’s the definition of “well.”

RC : There you go, boom! That was good, that was really good, very good Lori!

Lori : You gave it to me!

RC : I love that you said communication is the most important ingredient in all relationships and I think what you’re doing is essentially you’re teaching families to communicate with each other again. So with communication if you have a family in the room how do you educate them on how to express themselves?

MG : Well first of all you don’t come from the standpoint of “I know more than you.” Engaging a family of where they’re at, for instance, we’ve had a variety of people come to family programs. Some were longshoremen, some were lawyers, doctors, some were blue collar workers, some were retired, so you had a variety so you get to know who they are. Tell me about your longshoremen experience. What was it like to be a defense attorney? What was it like to be a computer analyst? You get to know what their expertise is and what their comfort zone is and let’s say that was the mother, let’s say they had a stay-at-home dad. I mean you don’t know – you got to find out what the flavor of that family is, the uniqueness of that family, the ethnicity of that family. So for example, just think about your own families. I think about my mother – my grandparents were Italian immigrants – they spoke Italian – I mean they were right from Italy. My mother never learned any Italian except the swear words. My dad was Irish but his parents were second generation immigrants. So they married – the Irish and the Italian so I found out a lot about both sides, especially as I got older. One of the things that my mother suffered from was severe depression. She did not have the help that we have today for depression. My father was an active alcoholic, he eventually died of alcoholism but he never drank at home. How would I know he was an alcoholic? He never drank at home. We had a family business. But my mother was sort of like a little couch psychologist – a little short Italian woman – feisty – there were seven of us in the family – six after my one brother died. Her favorite expression (I use this sometimes) – you go back to your family history and you pick out some of the gems. Here was one of her gems when my four brothers would get riled up about something: there were the two sisters and four brothers. And she’d say, “Oh get over yourself!” Then the next one was, “Get next to yourself” or “Get a hold of yourself.” So all those three things are talking about your emotions – get over yourself – your little self – if you can put this in terms of therapy think about the power of those three phrases. Get over yourself: get over that little self, that petty little self. Get next to yourself: it’s like, have your authentic self teach or re-parent your little self. Now she didn’t say that – I’m making that up out of what she said from that. And then the last one was: Get a hold of yourself, you’re out of control. And my father was out of control when he would start drinking and we’d have the police bring him home he’d be in a blackout. So what I’m saying is that when we find out the richness of our family history we’re not ashamed of it. It’s just like, okay no wonder I do this or that, now can I do things differently.

RC : So I think it’s being curious of where you come from being curious and interested and understanding how your upbringing has influenced your behavior today, has influenced your beliefs today, has influenced your approach in parenting, has influenced your approach in how you communicate. Because Lori said something earlier that I’ve always brought up in groups that you know back in the day a good father meant I’m gonna go provide for my kids, that’s what it meant. I went to work all day, I came home, popped open a beer, sat down and didn’t really talk a lot to my kid, but that’s what a good father meant. And now that’s changed and so I think like you said, I think you’re absolutely right that we have to remove the labels. If we’re healing a family system, “I’m not a good dad, I’m not a bad dad, I’m not a good mom, I’m not a bad mom, I’m a human, and this is how I show up. Does this behavior affect you? How does this behavior affect you in that way? Oh it lands in this way, okay so if it lands in this way do you like how it lands? No? Okay, maybe we can figure out a way where I can throw the ball a little differently so it hits you a little softer.” I don’t know, but I think like you said, we have to be open-minded in the conversation.

Lori : Yes, you know what, actually it hit me and I just want to tell you. You’re talking about finding out more about our families and so I’m in my head kind of reeling back and going “Hey God, what do I know, what do I know?” I’m thinking I know very little. What I know is that there were some really interesting things that happened in my family. My mom had a sense that she was in foster care the first few years of her life. It wasn’t until my mom was about ready to pass away that her cousin told her that she was born illegitimately and got the whole story so there’s that there’s quite a few stories like that where there’s just a little bit of information but not a lot. I couldn’t tell you a lot about my grandparents and my great-grandparents. That, in and of itself, this is what I just realized – tells me a lot about my family and a lot about what we were talking about with labels. My grandmother or my great-grandparents weren’t okay having an illegitimate grandchild so she went to foster care. My grandmother was sent away – those types of things – because they didn’t want that label. My father was the kind who says we keep everything here, we deal with it here, we don’t talk about our issues, we keep them within the family. So when you talk about what I learn, I learned that there are things to feel shame and embarrassment for. It’s better to hold that in and not to be open and transparent and own yourself and own your history and own your feelings and your experiences. So I thank you – I actually got a little therapy here today too, that was very helpful.

RC : I love that! Mary, a couple questions that we ask people on every show. One of them being, how do you GOT your mental health today? So what do you do for your own mental health? I love that you guys are both therapists and that we can honestly say hey we’re humans, we’re therapists, we’re moms, we’re parents, we’re wives, we’re husbands however and we all have our mental health to take care of, no matter what role you show up as. No matter what your profession is, it is your job to take care of your mental health, especially in this field where it’s so easy to get drained. I mean we’re hearing painful stories all the time and we’re showing up in service to others but we have to take care of our mental health first so what are some ways that you GOT your mental health today?

MG : Well I would say that the number one thing for me being a recovering alcoholic myself is that of course I go to meetings, I still go to meetings. I have a community of people and it’s particularly a small unit of women, women’s meetings that I go to and a small unit of women that are my support system, prayer and meditation, swimming and exercise, music and drumming. My husband is a musician, I’m also a musician, I’m also a drummer so that lifts my spirit. And family – we have an extended family so we try to get together with them, if not physically we at least do calls and zoom and then we take some trips. So I don’t know, I just balance. I’m still doing some Zoom meetings with clients and workshops, so I want to balance that with just living life – enjoying my life and being of service to others.

RC : Yeah and being in this profession for as long as you’ve been in when you’ve felt burned out how have you best supported yourself with that? For someone, a therapist who’s listening right now who loves their job, maybe they are burned out from it, and they still have to show up to work the next day, (I don’t know who I’m talking about!) but we exist, they’re out there. So what would you say to that person?

MG : Well we know about compassion fatigue and my first supervisor told me something that has stayed with me. He said, “You know Mary, you’re wearing two hats – you are working in the field of recovery and mental health issues, etc. and you’re also a human being with your own issues and recovery, so make sure which hat you wear most often.” And of course, that is to take care of yourself. You can’t take care of somebody else or give care to somebody else without giving care to yourself so that was a really important message that I needed to hear. Compassion fatigue in treatment centers or small organizations, outpatients and in organizations like you folks have is just to be mindful and pay attention to each other and say “Hey, I think you need a break, take a week off, take a day…” whatever is allowed within that organization. Take a break. Because everybody needs a break.

RC : Yeah, everybody needs a break. One of the tools my therapist taught me is instead of asking people how are you doing today, ask “How are you feeling in this moment?” And I teach that to clients all the time. Not how are you feeling today, but how are you feeling in this moment, because it changes moment by moment. I think it reminds people to check in with themselves: “Oh well, gosh, how am I feeling in this moment?” Instead of having it be good or bad, “Oh I’m feeling sad, I’m feeling disappointed, I’m feeling grateful, I’m feeling angry, I’m feeling excited, I’m feeling passionate…” so yeah that was a tool I liked. My last question is, What would who you are now tell younger Mary when you were 15 years old? What would you tell her?

MG : Gosh, I’m really old so I don’t know if I can remember a 15 year old. What would I tell her? Okay, I do know what I would tell her. “You have magic and you are wiser than your years and please continue to respect yourself rather than take on what somebody else says about you.” You know 15 year olds are very impressionable and not real confident. I wasn’t very confident in myself I’m sure at that age. I’m sure I wasn’t. Believe it or not I was kind of pretty shy. I’ve overcome that.

RC : Beautiful! And where can people find more information about you, Mary? You’re doing a women’s retreat, yes?

MG : Yes, I do and sometimes my daughter does it with me – Woman I Am retreat they’re called. I started them three or four years ago and I do them all over the place in the valley here (Coachella Valley) in the LA area and I’ve done a three-day Woman I Am retreat in Canada and I’m planning another one in spring of the year and another one here in the valley but since the pandemic of course I haven’t done a live Woman I Am retreat. People can get a hold of me at my daughter Peggy McGillicuddy and I did this – we have a website called www.innerdirectionrecovery.com and we have different things that we do – family intensives, workshops, coaching and online therapy.

RC : Beautiful! Well Mary, thank you so much! It’s been an honor to talk to you and to pick your brain and to learn from you. I really, really appreciate your time and coming on here. I know so many people are going to learn so much from everything you’ve shared and everything Lori has shared and it means the world to me that you came on. So thank you, and to everyone who is listening thank you again for joining in for today’s episode. If you don’t already, please follow us on Apple podcast, Spotify, YouTube. Rate and review. We also love hearing your feedback. Thank you for all of your comments on social media and we just can’t do it without you so we’ll see you next week for an all new episode of GOT Mental Health. Thanks guys!

How To Stop Drug Addiction from Ruining Your Marriage?

Couple in a Disagreement

Substance use disorders cause a host of changes and difficulties for the person suffering from the disease of addiction, as well as those closest to them. Substance abuse can greatly impact the physical and mental health of the addicted person, their loved ones and family members. Whether you’ve just discovered that your husband or wife is addicted to drugs or it’s been a problem for years, you’re probably wondering “can my marriage survive drug addiction”? The short answer is yes it can. Addiction is a chronic disease, but it is treatable.

The condition tends to cause the addict to engage in dishonest or unpleasant behaviors that may be totally out of character, but don’t lose hope — marriage can survive drug addiction. While it’s essential that you’re part of your partner’s support system, you’re not responsible for curing them, and you can’t put their needs before your own. There are steps you can take to stop addiction from ruining the relationship between you and the person you love.

Face up to the Facts

Even though we know alcoholism and drug abuse are medical conditions and not moral choices or signs of a weak character, there’s still a stigma attached to drug addicts. This stigma, along with the sheer pain associated with substance use disorders, often causes loved ones to bury their head in the sand and avoid facing up to the problem. Although this may postpone dealing with the consequences, it’s more likely to make the situation worse rather than better.

The sufferer is often in denial and will excuse habitual drug use as letting off steam or something they’re in control of. It’s vital that you look beyond these superficial words and resist the temptation of hoping the situation will work itself out.

Understand Drug and Alcohol Abuse

Facing up to the facts means you need to be aware of what they are. Your marriage is going to have a much better chance of survival if you make sure you understand how addiction affects the brain. This allows you to separate the disease from the person you love and therefore direct your negative feelings towards the illness rather than the individual. The person you remember is still in there, and they can be helped. It’s also important to identify if you and the person with an active addiction have become codependent on one another. Codependency can often happen between married couples when a spouse’s addiction has been active for a long time. Read as much information as you can get your hands on and seek advice from a specialist. You’ll feel more confident, feel more in control and be in a better position to help them.

Is Your Relationship Hurting Your Recovery?

Disclaimer: This screening is not designed to make a diagnosis or take the place of a professional diagnosis
consultation. Use this brief screening tool to help determine if further action is recommended.
For help in selecting the proper level of treatment in your area please contact our office.

Try to Remain Calm and Avoid Arguments

Drug or alcohol addiction is a family disease, and it often facilitates harmful patterns, such as the addict staying out late without calling, causing you to panic and get angry and leading to a blazing argument. Rather than forcing them to change, the guilt and shame they feel from causing you pain feeds the addiction and makes the situation worse. On top of that, you’re stressed and distraught from the constant fighting.

Put Yourself First

Whatever you do, don’t focus your entire existence around your addicted spouse. Find a support group, like al-anon, in your local area that allows you to vent in an environment where you receive constructive advice. You could also consider individual or family therapy if it is not already offered at the treatment program your family member is participating in. The more you immerse yourself in their illness, the more resentment you’ll feel, which can be a leading cause of a marriage breakdown. Lend a nonjudgmental ear and let your spouse know you’re there for them.

The best way to save your marriage is to encourage your partner to seek professional help for addiction recovery at a men’s rehab or addiction treatment center in California. To get sympathetic advice from an expert, call Valley Recovery Center today at 866-381-5165.