by Devon Berkheiser, Psy.D. Boredom can be dangerous…. Having too much free time allows the mind to wander, and it can go to unhealthy places. While time for rest and relaxation is important, make sure that you have enough activity in your schedule to prevent you from feeling too bored. Here are some tips for how to do that, especially during the holidays when a lot of people have extra time off from their usual daily responsibilities. 1. Plan ahead—If you wait until the last minute to make plans, you risk other people being busy and/or unavailable. Instead, try to fill up your schedule in advance. Anticipate free time that you will have and schedule healthy activities for yourself ahead of time. Remember that too much isolation can be risky, so be sure to include some social acti...

by Devon Berkheiser, Psy.D. While addictive substances and behaviors can be satisfying in the short term, they typically prevent us from engaging in activities that provide a deeper sense of meaning and fulfillment. When you overcome an addiction, you will notice an increased enjoyment in daily activities and a greater overall sense of satisfaction with life (although it may take longer than you had hoped). Higher satisfactions come not from a quick fix, but from enduring relationships with others as well as productive activity. Relationships with other people are a crucial component of a happy, meaningful life. Take time to engage with family members and friends. Be open with your thoughts and feelings so that you can connect with others on a deep and intimate level. Reciprocate ...

Originally posted on the Reunion San Diego blog on June 2, 2013 For a long time, addiction treatment programs have used the word “relapse” to describe a return to drinking or drug use following a period of voluntary abstinence by people with drug and alcohol problems. Often the words “lapse” or “slip” are used to distinguish a brief period of “using again” from a return to more extended and long-term use. At Practical Recovery, we’re joining hands with a number of experts in the field who want to do away with the use of the word “relapse” because we think it has negative connotations. As addiction scholar William White, M.A., author of Slaying the Dragon: The History of Addiction Treatment and Recovery in America, points out, the terms lapse and relapse actually have their ...

by Tom Horvath, Ph.D., ABPP There are multiple ways to experience any well-developed approach to addiction recovery, whether that approach is, for instance, SMART Recovery, a 12-step group or Stanton Peele’s PERFECT Program. In this article I present my observations about experiences in SMART Recovery. I acknowledge the foundation established for this article by The Varieties of Religious Experience: A Study in Human Nature by William James, and The Varieties of Recovery Experience: A Primer for Addiction Treatment Professionals and Recovery Advocates, by William White and Ernest Kurtz. This article is written to help celebrate SMART Recovery’s 20th anniversary, and the annual conference last month in Washington, DC, celebrating that anniversary. The highlights of that conference,...

[caption id="attachment_4919" align="alignleft" width="213"] Reinhold Niebuhr[/caption] Originally posted on March 8, 2013  on the Reunion San Diego blog For people opposed to “prayers”, AA meetings, traditional 12-step-based treatment and/or prayer in general, it’s too bad that the Serenity Prayer has been co-opted. What you probably don’t know, according to “The Secret History of the Serenity Prayer” by author Susan Cheever at TheFix.com, is that the prayer was originally conceived by theologian Reinhold Niebuhr – “not as an antidote to addiction, but as a response to the barbaric evil of Nazi Germany that threatened civilization itself during World War II.” Although some have challenged the prayer’s origins, Cheever cites Niebuhr’s original prayers as: “God give us the grace to...

So often, a return to drinking or drug use happens in a “screw-it” or “just-this- once” moment. Maybe it’s after a horrendous day or when everything seems to be going wrong at once. On the other hand, impulsive use can occur when celebrating something really great. The thinking commonly goes, “I’ll just have one or two drinks (or a few snorts), and that will be the end of it. But will it be just one or two? What about the next day? Have you been successful with short-term use in the past? That need for a quick fix, also known as immediate gratification, often drives use for someone with addiction, and the tendency can linger – sometimes for a long time. Part of overcoming the problem is recognizing and appreciating the value of enduring satisfactions versus momentary pleasures. On...

Discomfort is an unavoidable feeling. Anxiety, depression, anger, urges… these can be uncomfortable, even painful, experiences. While you may be tempted to avoid discomfort or to attempt to make it go away as quickly as possible, struggling against discomfort typically intensifies it. Alternatively, accepting that pain is just a part of life can actually make a painful experience easier to bear. In other words, the most effective way to deal with discomfort/pain is often to learn how to tolerate it. Your beliefs play a role in your ability to tolerate discomfort. If you tell yourself that discomfort is unbearable or that you shouldn’t have to feel any pain, then you will likely make the situation more challenging. Instead, try using coping statements such as “I can get through this” ...

By Tom Horvath, Ph.D., ABPP Wondering whether you should moderate or abstain? You're not the only one. Read on for some things to consider as you determine which approach is best for you. Practical Recovery's policy is not to give advice about whether to moderate or abstain. Unfortunately, this approach has sometimes been interpreted to mean that we “advocate” moderation. We neither advocate nor oppose any specific level of addictive activity, including cutting back (to something short of moderation) or focusing on safety without reducing quantity and/or frequency (e.g., “I won’t cut back my drinking, but I’ll stop drinking and driving”). Harm Reduction The term for this broad position, which follows the client’s lead on what changes to make, is harm reduction. Harm reduct...

By Dan Galant, PhD "The Abstinence Violation Approach" - This ominous sounding term from the relapse prevention literature is perhaps one of the most useful concepts to understand in addiction treatment. I often have clients tell me years after our last therapy session that this was the singular most helpful idea to keep them on track! So what’s it all about – and how can it help you? The Abstinence Violation Effect (AVE – think the abbreviation for avenue to help you remember it) is what happens when an individual deviates from his/her plan – and then continues to remain off that path due to frustration, shame, guilt, etc. Think of the problem drinker who has chosen to abstain from alcohol. When that person takes even one drink (”violating” their abstinence), the tendency is to t...

by Tom Horvath, Ph.D., ABPP Motivational Interviewing and Harm Reduction compared: In this article I compare these two important contemporary recovery concepts. From my perspective they are mostly similar, but have dramatically different rates of acceptance in the addiction treatment industry. You might also be interested in: Addiction Treatment: Motivational Enhancement Therapy Motivational Interviewing (MI) Motivational interviewing (MI) is a psychotherapeutic approach for promoting any healthy behavior change. MI was created for work with addiction, then extended to any behavior change about which someone is ambivalent. Ambivalence is a crucial aspect of MI. The person who is completely committed to change is actually changing, and not sitting in front of you discussing the pos...