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Can Brain Scans Predict Relapse?

What if brain scans could predict whether someone was more vulnerable to relapse?

Measuring brain activity of the vmPFC might give insight into which recovering addicts are more vulnerable to relapseIn addiction recovery, relapse is most often caused by external cues and stress that act as triggers for cravings. New research is finding the area of the brain that might be responsible for why some recovering addicts are more vulnerable to relapse than others.

A study, published in JAMA Psychiatry, found that recovering addicts who had elevated activity in the region of the brain known as the ventromedial prefrontal cortex or vmPFC (even when relaxed) were eight times more likely to relapse within 90 days than those whose vmPFC activty was lower when they were relaxed. (Healthland.time.com)

The study monitored the brain activity of 45 recovering alcoholics, who were in a 12 steps AA program, and had been sober for four to eight weeks. The researchers studied each person during three different types of experiences: a stressful one, one that involved a common trigger to drink, and a relaxing one. Personalized video experiences were created for each person to watch during an MRI brain scan. The brain activity patterns were then compared to 30 social drinkers of similar age, intelligence and gender who were not in recovery. Read more

Marking Progress While in Addiction Recovery

Sharing your story with others can help you track your progress in addiction recoveryHow do we go about tracking our progress while in addiction recovery? As you work your way through recovery, it’s easy to lose sight of what you’ve achieved. While focusing on the future is important for a successful recovery, it’s also important to to occasionally sit down and evaluate how far you have come. The road to addiction recovery is not always a smooth one, and keeping track of your journey can act as a source of inspiration and insight.

Addiction recovery can be complicated in the fact that no two recoveries are the same. For this reason, comparing benchmarks or judging one’s own progress in light of another recovering addict is rarely a good idea. But it’s important to remember that sharing one’s recovery experience with others and exploring recovery through various social settings can increase the likelihood of a long-term successful recovery. Tracking your recovery progress can act as a great motivator, improve active participation in your own recovery, and help you stay on track when you hit the occasional low point.

Here are some ways to track your recovery: Read more

Romantic Relationships while in Early Recovery

To Date or Not to Date? That is the Question.

Beginning romantic relationships while in the early stages of recovery is not advised because it can cause relapseManaging new, romantic relationships while in recovery, especially in the early stages of your recovery, can present some challenges. Beginning a romantic relationship while in recovery can cause unnecessary stress and might put you at risk for relapse.

It is recommended that people in the first year of recovery avoid entering romantic relationships. The focus needs to be on staying in recovery. According to SelfGrowth.com, 10 Reasons to Avoid Romantic Relationships while in Early Recovery:

1. Romantic relationships take the focus off of recovery.
2. Romantic relationships take the focus off of the individual.
3. Romantic relationships increase the potential for relapse due to emotional intensity.
4. There is too much potential for underlying issues, projections, and complexes to be creating the attraction.
5. Low self-esteem and the bargaining process of relationships make early recovery a tenuous time to enter a relationship.
6. There is a strong likelihood of outgrowing the relationship quickly.
7. In early recovery you do not really know yourself yet.
8. In early recovery you may not have a healthy understanding of what love is yet.
9. There is a strong possibility of the individual in early recovery acting on, “I want what I want when I want it.”
10. In light of advice to the contrary, if you decide to enter a relationship, you are working your own program. This is self-will, and this is an addictive behavior.

When people first begin recovery, they are essentially rebuilding their life. They are reassessing all that they want in this world and of themselves. It is a time when people are getting to know themselves again. This is another reason why it might be better to wait to enter new, romantic relationships until you have spent a significant amount of time in recovery. How can you choose the right partner, when you are still getting to know yourself in your new phase of life?

Addiction Stigma: Brain Disease or Moral Failing?

Addiction hijacks the reward center of the brain, it is not a character flaw in those who suffer. We’ve discussed before on this blog how the negative addiction stigma can be a major obstacle for those seeking help for substance abuse. Despite the fact that the American Society of Addiction Medicine defines addiction as a “primary, chronic disease of brain reward, motivation, memory, and related circuity,” our society still tends to stigmatize addiction as a character flaw or moral failing.

A current example, written about by Deni Carise, is Lindsay Lohan’s recent appearance on The Letterman Show. Despite David Letterman having admitted on his show a while back that he was  an alcoholic, he perpetuated the addiction stigma by mocking and making jokes to Lohan’s face regarding her struggles with substance abuse. Carise writes, “Rest assured if you are famous, the media will crucify you if you relapse.” She adds, “Given our current preoccupation with disastrous lifestyles and recovery failures, the mistaken belief that those addicted to drugs or alcohol never get better or are in some way weak or forever damaged, and the ongoing stigma surrounding addiction — perpetuated by the very people who should know better — is it any wonder why so many are silent about their recovery?” And while the government agrees that addiction is a disease, the efforts of the “War on Drugs” still classifies most drug users as criminals. Read more

Recovery 101: Time Management

Keeping a calendar, a to do list, and setting goals are all important time management while in recoveryTime management doesn’t seem like a necessary tool for recovery, but it’s an important one. When addicted, a large amount of time is spent on fantasizing, planning, engaging, hiding, and recuperating from one’s addiction. So once in recovery, time that was once spent on addiction needs to be filled with healthy activities. This is to avoid feeling overwhelmed and to avoid empty time slots or unproductive time periods, which may trigger relapse. A successful recovery will involve learning skills of time management in a way that produces healthy growth.

Here are some tips for effective time management: Read more

How To Avoid Being A Dry Drunk in Recovery

Although not drinking, this woman displays the negative behaviors of an alcoholicA dry drunk is someone who no longer uses drugs or alcohol but still behaves in a dysfunctional way. The term “dry drunk” refers more to a condition or syndrome than an individual. Remember, being an addict isn’t just about the use of drugs or alcohol, it is also about patterns of behavior. So how does one avoid becoming a dry drunk while in recovery?

There are usually two ways that someone fits the criteria for dry drunk syndrome while in recovery. The first is they remove drugs or alcohol but do very little to address or change their internal or emotional behavior. The second describes someone who was abstinent and on a productive recovery path but slowly returns to unrealistic or unhealthy modes of thinking and acting (this also puts them at risk of relapse).

Some common attitudes or modes of thinking associated with dry drunk syndrome are: Read more

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