Does the recovery community inadvertently contribute to the stigma of addiction? by Tom Horvath, Ph.D., ABPP Although the recovery community opposes stigmatizing individuals with addiction, the widespread use of the labels “addict” and “alcoholic,” and the view that addiction is a disease, actually contribute to the stigma of addiction. Alternative language, suggested here, could work against stigma rather than contribute to it. What is stigma? The Oxford English Dictionary defines stigma as 1) “a mark made upon the skin by burning with a hot iron (rarely, by cutting or pricking) as a token of infamy or subjection,” 2) “a mark of disgrace or infamy; a sign of severe censure or condemnation, regarded as impressed on a person or thing; a ‘brand,’” (this meaning is introduced as...

It can be challenging to stay sober when you're coping with tragedy. This last year has been full of grief, tragedy, and challenge. We continue to grieve together and are finding that many people are experiencing anger, sadness, confusion, grief and anxiety.  With a surge of emotions that arise in response to tragic events, it is understandable that some of us may experience temptations to return to our addictive behaviors in order to cope with stress and loss.  It is important to understand that this is a normal reaction and a part of recovery. It is also important to know that while the urge may be there, we do not need to give in. Now is the time to call on those new coping tools we've been working on! Some common reactions to tragic events: Increased fear, anxiety and worry i...

Rebuilding Your Life in Recovery: Improving Your Work Ethic Returning to the workplace after rehab can often be a scary transition. We worry about what people will think, what they know about where we were, and whether we will be judged.  The reality is that re-entering the workplace is a vital piece of recovery as we navigate life again outside of our engagement with addictive behaviors.  While this can be an exciting step it can also be nerve wracking. Going back to work requires us to comply with structure, accountability, socializing with others and daily mental stimulation.  Working allows for us to access areas of creativity, critical thinking, problem solving and building relationships. This can be a very positive outlet as we transition out of treatment and back into life’s res...

Have you noticed the stigma that exists when it comes to men and addiction? It is no secret that the stigma of males in relation to addiction exists in our society today. While it’s widely understood that this is a complex issue, it’s often oversimplified and overlooked.  The stigma may include anything from negative attitudes towards those who may be overindulging in addictive substances or behaviors, to critical beliefs about who specifically is affected by addiction.  The idea that men who are affected by addiction are weak, deserving of their fate and less worthy of care is so inextricably tied to our current societal views that it’s challenging to attempt the separation of addiction from shame and guilt. Most of us who are struggling with addictive behaviors find that the stigm...

Are women stigmatized by addiction? When we think about the person who works a full time job, travels, enjoys a beer with sports, or finishes a long day in the office by going out to dinner and cocktails with a friend, which may turn into a late night of drinking, what type of person comes to mind? Is it a man or a woman? Are they single or married?  If we place a female in that scenario vs. a man, does it change the expectation of that person?  You see, although we’ve come a long way as a society when dealing with gender expectations and inequality, there are still deeply engrained prejudices that exist when we’re thinking about addiction. The behavior in the above scenario tends to be more widely accepted for men because “this is what hard working men do,” some might say. For some...

The death of Prince has left many wondering what really happened and whether circumstances could have been different.  Prince’s use of pain killers came as a surprise and many found it hard to believe he had been struggling with prescription drugs for quite some time. On April 20, two of Prince’s representatives, in hopes to intervene and find treatment for the artist, contacted Dr. Howard Kornfeld, a California based doctor who specializes in pain management and opioid addiction. According to CNN, Dr. Kornfeld sent his son, Andrew, a consultant from the pain management practice, to Prince’s estate, purportedly to take buprenorphine to the performer. It was Andrew Kornfeld and two of Prince’s representatives who found the singer unresponsive in an elevator and called 911. As the p...

By Tom Horvath, Ph.D. How often have you heard the following statements? "Using buprenorphine (Suboxone, Bunavail, Zubsolv, etc.) or methadone is not real recovery." "Harm reduction is not real recovery." "Using psychiatric medications is not real recovery." "Moderation is not real recovery." “Real recovery” is widely viewed as abstinence from all intoxicating substances. You can still be in real recovery if you use (or over-use) caffeine, nicotine, and food, or engage or over-engage in potentially addictive activities (also termed processes or behaviors, including gambling, video games, pornography, sex, etc.). The real recovery perspective is that any use of intoxicating substances is very likely to, or will inevitably lead to returning to the previous level of (seve...

Overcoming the Stigma of Addiction Stigmatization in our society is largely connected to the behaviors and concepts of our society, in part by the people that make up our community.  Many of us who struggle with addiction of any sort find it is often difficult to seek treatment out of fear of judgment, shame, or guilt.  There is an underlying fear of being given a stigmatized label.  Without this fear, individuals might feel more accepted and open to being vulnerable and asking family, friends or professionals for the help they need. Where does this stigma come from? The stigma is produced in the media, movies, television, books, and ultimately created characters that fit a description of an otherwise made up criteria.  The government continues to be active in creating solutions for...

In addiction recovery, if your life is filled with non-pleasurable activities, you are more likely to relapse. The relapse will provide an intense, but only temporary, satisfaction. Perhaps the greatest risk for imbalance comes when we are too focused on what we “should” do and not enough on what we want to do. Of course, we need to do what we should do, but with balance! Lifestyle balance can be considered from a number of perspectives. Below is a list (taken from Dr. Horvath's book, Sex, Drugs, Gambling & Chocolate, page 191) that you might use to consider how balanced you are: Work and relaxation Activity and contemplation (self-assessment) Duties and fun Long-term projects and momentary pleasure Alone time and social time Routine household chores and new proj...

Does acupuncture help in the treatment of addiction? Chinese medicine, such as acupuncture, has long been used to treat an array of illness. More recently, Eastern methods have become increasingly popular within many addiction treatment approaches, as a supplement to other therapies.  Acupuncture is said to help alleviate withdrawal symptoms and physical pain, cure insomnia, and even help soothe emotional problems. So what is acupuncture? Basically stated, it is Chinese therapy involving pricking the skin with small/thin needles. It is used to treat a variety of physical symptoms, improve mental health, balance emotional conditions and alleviate pain. Acupuncture is based on a theory of energy. As the theory goes, “chi,” also known as energy, flows through our body along pathways...