Many people believe that once an alcoholic has stopped
drinking that the worst is over. People also believe that going to rehab for 90
days means there are only sunny days ahead. The reality is a far different
picture from what many people believe.
When detox begins in a medically supervised arena, the brain
begins to divest itself of the accumulated toxins that have been stored in the
frontal lobe. It is a slow process to get rid of all that poison. In fact it
takes FOUR years for the brain to be toxin-free. Even if there is zero alcohol in
the blood stream, the alcoholic will be under the influence (even if minimally)
for the next four years. So that means, while the person may be able to go back
to work, repair broken relationships, find peace and in general return to a somewhat
“normal” life – there is always the pull back to the bottle or vestiges of the
alcoholic personality on a daily basis.
If a person goes to rehab for 90 days and then immediately
goes back to drinking, it may be because that pull from the brain is
over-riding any logical thinking process. Alcoholism is an addiction and it is
difficult enough to break the addiction even if there were no left-over toxins interfering
with logic, reason and emotion.
After the 90 days in treatment there must be a continuation
of treatment for the alcoholic to ignore those pulls away from rationality.
Most people continue their journey in a 12-step program, but there are other
programs – Smart Recovery is just one example. In my opinion, support groups
are great, but there needs to be that one-on-one counseling in order to keep
working on the more intimate issues. The therapy must dig deep to find factors
that may have encouraged the drinking in the first place. Was there a traumatic
incident? Was there some PTSD, child abuse, or any other major life change
around the time the drinking stepped up in pace? What are some of the triggers
that may put the alcoholic into a tenuous situation? Usually many of these
issues are not uncovered in a group atmosphere because they can be too
personal, too painful to discuss openly. There is often not enough time inside
the rehab center of other support groups. When things do start to become clear,
it will take a lot of work to resolve the discovered issues in order to reach
full recovery.
It doesn’t happen overnight; within a month, year, or more.
It’s long and hard. It could take four years. The good news is that once these issues
are uncovered it will then be possible for the alcoholic to start to truly
recover. Dr. Phil says, “You can’t fix what you don’t acknowledge.” No truer
words have been spoken – in my opinion. I always say “Knowledge is power.”
Usually when a person comes out of rehab the family feels
like they are on top of the world. There is hope; there is a promise of a
normal life. It’s a “honeymoon” period where everything is sweet, loving and
light. But for the family there is also the edginess of waiting for the other
shoe to drop. They are cautious in their happiness. And that’s as it should be
because it takes four years; it takes support groups; it takes counseling; it
takes patience; it takes understanding; and sometimes it feels impossible.
In my case, Riley was
once sober for just about five years – so what happened? He had gone over the
four years so he should have been toxin-free. Rile was extremely active in AA.
He had sober friends and attended booze-free activities. What Riley did not
have was the one-on-one counseling. He did not ever reach a place where he
could be completely honest about anything that may have contributed to his
alcoholism. To this day, he will tell you the only reason he became an
alcoholic was because he liked being drunk rather than sober. He did not care
about destroying anyone else’s life – wife, kids, friends – and he openly
admits this as the truth. But, he cannot tell you “why” he is this way. To top
it off, he uses counseling sessions to convince himself that he is “not that
bad.” He also thinks of his appointments as social events. As a result he is
missing one of the key elements, in my opinion, to achieving life-long
sobriety. It really isn’t over until the fat lady sings and for Riley, the fat
lady is on stage without a microphone or a band – she’s not singing anytime
soon.
Just a reminder – most of my posts are my opinion and based
on my experience combined with research on the subject matter. I’m not a
doctor, lawyer, therapist, or any other “professional”. I’m a survivor and that’s
all I ever claim to be.