Searching For Cisco -- Again
Sally and I are the parents of Cisco, a teenage addict. We have attended PSST Meetings for about 18 months. After six months of Cisco's placement in an inpatient recovery program and a halfway house Sally and I stood up in court and asked for an extension of Cisco’s juvenile probation. This turned out to be crucial because…
…our son, Cisco, relapsed in August and he just walked away from his inpatient facility, again, in December.
In August his Allegheny County Juvenile Probation Officer (The P.O.) and his Wesley Spectrum counselor (The Counselor) worked with us to have Cisco placed in an adult recovery facility about 200 miles away. After 4 days Cisco walked away. To read about this click on “Rocco and Sally Take a Road Trip”
Once again The P.O. and The Counselor worked with us closely. Cisco was placed in a local Adult Behavior Modification Facility. Cisco did well until mid-October when, acting impulsively, he walked out again. To read about this click on “Finding Cisco”
Cisco returned voluntarily and settled back into his program. Sally and I got to spend a wonderful Thanksgiving weekend at the beach refocusing on us.
On Sunday, the last day of our trip Sally called our older son, Frodo, to ask if he was going to visit Cisco. Frodo said that he and Fiona would like to visit but that Cisco had not called to invite him. This set off alarm bells and whistles for Sally.
Sally phoned The Facility and asked if Cisco was doing okay and if he forgot about calling his brother. They said he was doing fine and that they would find out what was going on. A few minutes later Cisco got on the phone and said that he had lost Frodo’s number. I gave him the number and Sally asked to talk to him. Cisco told Sally that things were okay but he didn’t feel the program was doing him any good. He said that he had the urge to walk out of his program a second time.
I felt that this was simply a manipulative teenage tirade by Cisco because he was angry at Sally and me for “ignoring” him.
Our adolescents who have addictive behavior thrive on being the center of attention. They have a need to command “the power” to dominate the family environment. The easiest way to do this, of course, is by acting out, aggravating us, taunting us, threatening us and, in general, causing chaos.
Sally had a bad feeling about it. She texted Cisco’s P.O. and our family counselor.
The rest of our day went pretty well. While we were delayed at the airport we had calls from The P.O. and from Frodo that Cisco was feeling better about things. It helped that The P.O. reminded Cisco that if he walked away from The Facility that he would be found and he would have yet another hearing with the same hearing officer.
Fast forward to Wednesday; we received a call from The P.O. This one did not start with the usual reassuring “Everything is okay, there is no problem…” It was a call to let us know that Cisco had walked away again.
Sally felt very concerned about Cisco’s state of mind and his safety, especially with the cold weather.
I felt anywhere from “Good, I hope he freezes” to “What does he really need” to “Here we go again” to “I hope he doesn’t do something stupid(er)".
I agreed to meet The P.O. where we ended our search for Cisco the last time, at the ex-girlfriend Chrissie’s enabling grandma’s house. While I was waiting for the P.O. to arrive Sally called. She had been contacted by someone who said they talked with Cisco around 6:30. So we knew at least that he was back in the township.
The P.O. and I decided, since we were already in the neighborhood, to visit with the Enabling Grandma (E-Gran); if for no other reason than to discourage her from allowing Cisco to hide out in her house again.
This time E-Gran was extremely cooperative. She allowed us to check out the bedroom without hesitation. She was not concerned about her dog, her cat or her granddaughter’s messy bedroom so we felt certain that she had not seen Cisco. This is the place that Cisco admitted he had stayed the last time that he had walked away. We did not find any trace of him this time.
We decided to move on to Janet’s house. This was a favorite place of Cisco’s where he used to chill (and we suspect a favorite place to use). Janet answered the door and was pretty convincing that she had not heard from Cisco. The P.O. got her cell phone number and Janet also gave us the number to the house phone. We thanked her and left.
So, where to go next?
The P.O. had been pretty convincing the last time we were searching homes for Cisco. We were fairly certain that text messages were blazing around the township again warning that if Cisco was at your place he had to leave. The police were coming to search the house. The last thing that Cisco’s alleged “friends” want is the police turning over their bedrooms and basements.
We decided to try Bambi’s house next. If Cisco wanted to get high this is where he would eventually head for. This is the house where Cisco and Chrissie visited to use the last time he was out. We just missed finding him there then. When we got there all of the lights were out. It was getting late and I know that Cisco would not stay there after Bambi’s step-dad got home. The P.O. did not have a warrant this time so we decided to move on.
We were on our way to the gas station where Cisco’s friend worked when I decided to give Sally a call and see if she had any ideas. She said that she had a strong feeling that Cisco was at his other ex-girlfriend Angelica’s house. She felt so strongly that she said she would start walking there. I did not think he would be there but I have found Sally’s intuition to be a lot better than mine. So the P.O. and I took a detour to Angelica’s.
Her parents welcomed us in and assured us that Cisco had not been there. Angelica came in and said “Man, it is so weird that you guys showed up here. I just got off of the phone with Cisco.”
We asked her if she knew where he called from? She said that she didn't know where he was but she gave Sally the number. Sally called and talked to someone who said that Cisco was not there. She explained that she knew that he just called from this number but he continued to play dumb. When she asked him where he lived he hung up.
Angelica called back and told him to “Cut the crap” and put Cisco on the phone. This time he said that Cisco “uh, just left” and he didn’t know where he was going. He talked in circles for a few minutes and hung up again. A few minutes later Angelica received a call from another number.
It was Cisco.
Angelica told him that we were there with The P.O. to take him back to The Facility. He asked if we were sure that The Facility would allow him to come back. The P.O. asked for the phone and reassured Cisco that The Counselor had spoke with The Facility and they would allow him to return. He told him that if he would meet with us that he would do whatever he could to get him into the proper placement. Cisco agreed to meet us.
We thanked Angelica and her parents and went to pick up Cisco.
He met us and he admitted that it was really dumb of him to run again but he felt that the program was not helping him. He said he wanted to be in a program that had more recovery activities, more physical activities and more job training. The P.O. called The Counselor and we had a conference call in the Shop ‘n Save parking lot concerning what would be best for Cisco. The Counselor wanted to know what would stop Cisco from running away again. The P.O. agreed and told Cisco that we may just be setting him up to fail if he went back to The Facility.
The P.O. explained to Cisco that it was a good thing that he came back voluntarily again but that he would still need to attend a hearing to determine where he would go. He gave him the choice of going back to The Facility or spending the night at the Shuman Detention Center. After talking it over Cisco agreed that he would go to Shuman and the hearing the first thing in the morning.
So now, here we are; still feeling our way down this very strange, seldom straight, sometimes smooth, and often scary path of recovery.
We continue to thank The P.O. and The Counselor for their amazing efforts to help our family. We thank all of our PSST family for their support.
For now we know where Cisco is and that he is safe, warm and clean.
We know that he has 15 or 16 months clean time over the past year and half.
We know that Cisco is trying hard but that his addiction is fighting back whenever it finds the chance.
We know that we are much better than we were last year at this time, never the less, we need to continue as a family to recover.
We know that we will see you all at the next PSST Meeting.
Thank you all for being there.
P.S. Since Sally attended the hearing I will let her tell you about that.
Searching For Cisco -- Again
Posted by:Rocco--Thursday, December 02, 2010
Healing 'holes' in brain provides Hope
Posted by:Rocco--Sunday, November 28, 2010
Sally's sister, Sandy, saved an article from the Palm Beach Post for us to share concerning the cause and treatment of addiction at the Hanley Center, a noted nonprofit addiction treatment facility in West Palm Beach, Florida.
Healing 'holes' in brain may help addicts, says West Palm doctor - New Research and Treatment
By Barbara Marshall
Palm Beach Post Staff Writer
"Doctor, you have no idea how hard this is." Addicts say it all the time.
Looking at this motherly woman with the empathetic blue eyes, they ask, "What could you know about addiction, anyway?"
Dr. Barbara Krantz, the CEO and director of medicine at the Hanley Center in West Palm Beach, says gently, "Let me tell you my story."
Read More......
Dr. Krantz pulls up an image of a patient's brain on a computer screen. The man has been in and out of treatment for years, unable to stay off the drugs that are killing him.
Dr. Krantz, a 60-year-old former family doctor and one of the country's leading researchers in addiction medicine, zeroes in on what she thinks is the cause.
"There, see that?"
The SPECT image shows a brain that looks like Swiss cheese, as if something has been nibbling at the tissue.
The "holes," Krantz explains, are areas of reduced brain activity due to low blood flow. The largest "holes" are in the part that governs impulse control, called the prefrontal cortex.
To Dr. Krantz, the brain scan shows the patient can't stop using drugs because he can't control his impulsivity.
In other words, it wasn't lack of willpower or some character defect that made it impossible for the man to get clean. The part of his brain that might enable him to "just say no" was damaged.
"Begin to heal those "holes," which Dr. Krantz says is possible in a matter of months, and you may begin to heal the patient. Knowing what parts of the brain are affected by addiction also helps Hanley target therapeutic drugs, such as antidepressants, to enhance recovery.
"It's very, very cutting edge stuff," said Paul Kenny, a neurobiologist at Scripps Research Center in Jupiter, who is collaborating with Dr. Krantz on this research, which recently got Krantz and the Hanley center national attention in Time magazine.
In the world of addiction medicine, Dr. Krantz is the link between discoveries in the lab and their application to patients, Kenny said.
Former state senator Tom Rossin, the chairman of Hanley's board of directors, calls Dr. Krantz "One of those caring doctors we all would like to have but she's also one of the country's premier experts in the field of addiction."
She is passionate about demonstrating that addiction is a disease with a biological basis, like high blood pressure.
For more information on SPECT(single photo emission computer tomography) click on:
http://www.medicexchange.com/PET/hanley-center-acquires-east-coasts-spect-scanner.html
http://www.psychiatrictimes.com/addiction/content/article/113619/1592214
Thirty years ago, Dr. Krantz learned it the hardest way possible.
It began in the late 1970s with severe headaches - stress headaches, she thinks now, but then labeled migraines. She was 29, one of the first female family doctors in Palm Beach County. She and her then-husband had a 6-month-old baby when she went to a neurologist, desperate for relief from the pounding in her head.
He gave her a shot of Demerol and her wobbly world slid miraculously back into place. The throbbing headache was replaced by an seductive euphoria that let her float through hours of work and still be up scrubbing floors at 5 a.m. Within months, she was injecting Demerol daily, confident she wasn't addicted.
"My perception of an addict was a skid row bum, shooting heroin. I knew I wasn't an addict because I was a mom and it was prescription medicine," she said.
The drug gripped tightly, quickly. She says she was addicted within six to eight months. When making house calls to terminally ill patients who needed pain control, she'd give the patient a shot from a vial of Demerol and save the rest for herself.
In 1981, her mother pushed her into treatment. Eventually, she spent six months at a program for addicted physicians. She was perplexed, even angry, that no one there, at a facility that specialized in treating doctors, "could answer my questions about what was happening in my brain."
She resumed her practice, but still felt fragile and off-kilter. "The first two years (in recovery,) you just don't feel right. My brain wasn't back," Krantz said. "I still didn't have a clue about neurochemistry."
All the while, she was dealing with the public perception, even among fellow physicians, that her addiction stemmed from weakness and moral deficiency.
"The guilt and shame that I experienced for the first two years of my recovery were close to lethal" Dr. Krantz said.
In 1999, following several personal tragedies, she founded "His Great Commission", a non-profit medical outreach program, in his memory. For 10 years (before she had to close the program last year) Krantz and other volunteers ventured into the county's roughest neighborhoods, offering free basic medical care. Addicts all over the county grew to trust the tall blond woman who didn't preach and refused to judge.
"Not everybody can do what Barbara did," said Sandra White, of United Deliverance Church in West Palm Beach, who volunteered alongside Dr. Krantz. "It was admirable and risky."
Today, Dr. Krantz has built a national reputation as a lecturer and was quoted in September in a Time magazine article on prescription drug addiction, which she calls "Pharmageddon."
In 1990 there were barely 6,000 deaths from accidental drug poisoning in the U.S.
By 2007 that number had nearly quintupled, to 27,658.
In 15 states and the District of Columbia, unintentional overdoses have, for the first time in modern memory, replaced motor-vehicle incidents as the leading cause of accidental death; and in three more states it's close to a tie.
To read more about “Pharmageddon” click on:
http://www.cbsnews.com/stories/2010/09/04/earlyshow/saturday/main6835509.shtml
http://www.time.com/time/magazine/article/0,9171,2015763,00.html#ixzz16hdjyZ82
These days, three immutable certainties guide her life: addiction is a medical disease, God exists and as she knows intimately, the human spirit can soar above heartbreak with purpose and hope.
A carved wooden sign on her desk reads: "Care Deeply."
Tellingly, it faces visitors. Dr. Krantz doesn't need reminding.
Copyright © 2010 The Palm Beach Post. All rights reserved.
Copyright © 2010 Time Inc. All rights reserved
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Parent helps to prevent relapse
Posted by:Lloyd Woodward--Saturday, November 27, 2010
NEW COMMENT: This role highlights the importance of setting up a good solid recovery plan while the teen is in rehab BEFORE he is released. Of course, it may be that this window of opportunity has passed or perhaps your teen was never in rehab. In that case look at every difficulty such as relapse, violations of contract, defiance, crucial meetings with therapist or probation officer as new windows of opportunity where you might gain a commitment from teen to follow a solid contract. Then, hold him to that contract. This sort of goes along with the Should I give him space post, and it does provide more thought on that same topic.
REPRINT:Role Play: Parent Helps To Prevent Relapse is reprinted here. It was originally posted March 2007.
Dad: Hey, can we talk a minute?
Son: What's up, Yo?
Dad: Well, I've noticed that you only went to a few meetings last week.
Son: Dad- [making a face of disgust] I know when I need to go to a meeting!
Dad: Yeah, but we agreed on a meeting a day for the first 90 days. Then we said we'd talk.
Son: You know you really kill me. You really do. You think cause you went to a few of Lloyd's meetings, and a couple of Gateway family meetings that you're some kind of expert on addiction! You probably think you're going to write a book about your experiences, don't ya?
Dad: Well, I don't know about that...
Son: [cutting off his father] Well, don't quit your day job! I think after what I've been though, I know how to stay clean. You never even been addicted you said. So, you don't really know, do ya?
Dad: Well, no but...
Son: [cutting off his father] Listen Dad, I know you worry, but my sponsor said something that's important. And HE knows about recovery, cause he's in it- you know what I mean? Well, he says that you and Mom are trying to work my recovery for me. And that just makes me angry. In fact, if anything THAT makes me want to shoot dope! So, you should back off, Yo!
[Pause]
Son: Anyway, you think I would ever do anything to make me go back into rehab? You think I want to get sent away? You're crazy! I hated that place! I will NEVER do dope again! I'm to smart for that shyt now man- no way! You think I'm stupid?
Dad: Ok, ok, ok, let's back up here can we? Just hold your horses [dad puts up the traffic sign for stopping traffic].
Dad: First of all, no I do not think that you are stupid. Far from it. Second, you are right, I am not an addict and I don't know a lot of stuff about it- [laughing] AND I’m not starting my book yet so YOU back off, Yo!
Son: O.K.- that's good! [struggles to put up a smile- but it's not working as he is too upset to relax].
Dad: Son, do you know who taught me the most important stuff about addicitions?
Son: Abe Twerski, when he gave that lecture at Gateway?
Dad: Ooh- that was a good lecture- but no not him. Not at all.
Son: Who then? I know you're gonna tell me anyway! [Rolling eyes].
Dad: You did. When you were in rehab.
Son: [Looks surprised]
Dad: Yes, son in rehab you taught me that you need to go to a meeting a day for at least the first 90 days. And you taught me that you need to go to those meetings regardless of whether you feel like going.
[pause]
Dad: And you taught me that you need to cut yourself off from all the people that you used with. Remember that list that you came up with? That list of people that you need to stay away from? Well I learned a lot from you coming up with that list- you really gave that list a lot of thought. And I was surprised at how many names were on it! I was proud of how much work you put into that. Well, I see that you have started to hang with Denny. [pause] and Son, we both know he is on that list.
Son: Ahhh Dad! He don't use no more. He's goes to meetins now!
Dad: Nevertheless, he is on the list- and he is someone you shot dope with.
Son: You think I'm stupid- I will never do that junk again, man, you make me mad talking like this - [getting louder] you trying to work my program for me!
Dad: Regardless, we are sticking with the plan that you came up with in the rehab. We are not changing plans now. Son, trust me on this one; we ARE NOT changing plans now.
Son: But, even my sponsor says...
Dad: Regardless, we are following the plan we came up with in treatment. It's non-negotiable.
Son: I'm not going to all those meetings anymore, Dad. I mean- I'll go when I need to go that's all. And Denny's not a bad guy like you think- he's my friend - and you can't pick my friends for me neither!
Dad: [moving closer with strong eye contact the father says slowly and softly] That is unacceptable, Son.
Son: You can't make me do that stuff!
Dad: Son, we can do a lot- and if you want, your mother and I will discuss with you what we are prepared to do. But maybe it's enough for now if you just trust me- trust that I am prepared to do whatever I need to do to see that you follow the plan that you came up with in rehab. That's all.
Son: [walks off in anger, muttering obsenities]
Dad: [ Lets him go.]
We have all learned a great deal about the signs of relapse. As Mary pointed out, overconfidence and anger can be signs. Home Alone hit on a lot of them, including the fact that a relapse happens in the teenager's mind before he actually takes "the first one." Hanging out with old friends and attending fewer meetings can be signs. But what is a parent to do to help?
Preparation can often be the most helpful thing. For example, what was the plan that your teenager came up with while he was in the rehab? Or what plan did he come up with before the "stinkin thinkin" set in? Stick to that plan, even if your teen no longer believes that he needs to do that. Don't be distracted from the recovery plan by the attitude of your teenager. Yes, we wish that he always kept that "recovery high" that he had when he first came home from the rehab, but since addiction is "cunning, baffling, and powerful," it is often the case that we don't get our parent-wishes. In general, don't be distracted. Insist that your teen follows the plan.
find Original post and comments here
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Summary Nov 20, 2010 PSST Meeting - Mt Lebanon
Posted by:Rocco--Wednesday, November 24, 2010
Meet the PSST Parents III - Summary Nov 20, 2010 PSST Meeting - Mt Lebanon
Muppets Copyright © Disney. All rights ReservedWe had another terrific turnout Saturday for our PARENT SURVIVAL SKILLS TRAINING (PSST) Meeting at OUTREACH TEEN AND FAMILY SERVICES in Mt Lebanon; with our PSST Professionals, a lot of remarkable parents and a lot of delicious food for our PSSThanksgiving Celebration.
The meeting was led by Val, Lloyd and Rebecca from Allegheny County Probation and Family Therapists Kathie T and Jocelyn from Wesley Spectrum Services. Speaking for all of the parents who attend these meetings we would like to sincerely thank them for their support, encouragement, understanding and much appreciated humor.
The meeting was attended by 18 parents representing 14 families: alias' Max, Daisy, Jane, Alice, Sally & Rocco, June, Candy, Cheryl & Jim (This week's new PSST Parents), Lily, Violet, Lois, Jessica & Roger, Becky & Tom, and Marcie.
To make sure those who needed help the most had the opportunity to discuss their issues Lloyd asked them to share first.
LET'S TALK
Max has been coming to PSST for almost a year with her husband Mel. Max and Mel have two sons, David and Michael in recovery. David, their younger son is doing well at an out-of-state boarding school. Michael has been doing well at school and has a job. He has been following curfew and has been staying clean.
But when Michael came home Friday, Mel had a bad feeling. Max tested Michael for alcohol and the test came up positive. Michael said the test had to be wrong because he wasn't drinking. Max agreed to try a second test (and kind of quietly wished that it would be negative). When this one came up positive Max asked Michael to explain what really happened. Michael finally admitted that when he asked one of his friends to share their drink he thought it was just fruit drink. After he took a drink he realized it had been spiked with alcohol. Mel wasn't buying his story but Max wanted to take advantage of the opportunity to talk with Michael. Max did very well; she did not get into accusations and arguments. She went over what happened with Michael and let him know that he would need to call his P.O. let him know. He would then have to accept whatever consequences came.
Click on "Should I give him some space" for more details.
Lloyd pointed out that Max handle a tough situation well. Because she had built a good relationship with Michael he felt that he could talk openly with her. He admitted that he had used alcohol. If the specifics of the story do not ring true is not that important.
If your teenager admits to using don't get lost in the details about the hows and the whys.
Use their admission as an opportunity to re-establish the power of the parents. Use it as a reason to amend your teens contract as needed. Talk it over with your child's counselor and P.O. (if they have one). Remember: Do not keep secrets - secrets enable your teens addiction. Establish some appropriate consequences and work with them on how they can avoid the situation the next time.
Max and Mel are working together to help their sons through their difficulties and their family is on the road to recovery. As we all know that is not always a smooth road but they keep going forward. Less than a year ago Max would have had difficulty handling this situation.I think that Max deserves a PSSTrophey for coming such a long way in such a short time.
You managed things well Max.
Thanks for being a PSST leader and for continuing to share at our meetings and on the blog.
Jessica and Roger have a 16 year old son Herman who was released from an inpatient program last week. Regrettably it seems that Jessica and Roger were the only ones that understood that Herman was not ready to come directly home. As they expected Herman came home and his anger issues kicked in immediately.
He did his best all week to manipulate and take back the power from his parents. When Jessica and Roger showed him that they were not going to bend, much less break, he acted out even more. Herman is cut off from the people, the places and the drugs that got him in trouble and he is having no success at regaining power. Reality is hitting him hard. His family will not accept this behavior. Jessica and Roger will have an opportunity now to work with his P.O. to enforce his contract and show him that there is a "New Sheriff in Town."
We parents at PSST understand how difficult this is. We all need to take back control of our family and our own lives in order to save our teen's life.
PSST has provided a few somewhat uncomfortable but valuable lessons on handling our adolescent’s addiction and "How to Talk Less & Act More. These are by no means the easiest methods to make use of but they work.
Realize that we are not alone in this. At PSST there a lot of caring people who understand exactly what we are going through and who are here to offer a lot of support and encouragement.
Thanks for coming to PSST Jessica and Roger. You are going through a tough phase of your son's recovery and we are here for you.
Jane has a son Elroy who is about to turn 18. He has a hearing pending soon.
Jane has worked hard to get Elroy started on his recovery. This is in spite of a lack of cooperation by Elroy and a lack of help from her husband George. Elroy won't attend his I.O.P. and George does not want to deal with his son’s apathetic behavior.
Unfortunately there are no quick fixes for addictive behavior.
However once our teens are in the system, or facing a hearing, they will need to quickly learn how to take responsibility for their own actions. Then they will have to learn how to deal with the consequences resulting from their behavior. This is where the parent needs to detach. It is not the parent's bad behavior and it will not be the parent's consequences.
Remind your teen prior to the juvenile court hearing that we can be there to back them up or we can be there to make sure that the truth will be told. No lies, no secrets, no covering up and No Parental Guilt.
Thanks for continuing with PSST Jane – Taking back the power is not an easy task but you are doing it. Take some time to refocus on yourself and your other kids.
ROLE PLAY
We stopped to do a Role Play concerning a teen that has used and has admitted to it. The parents have discussed what they think are appropriate consequences (i.e. no going out indefinitely, no driving lessons, none hanging out with the friends he was using with.
We started the conversation with permission for the teen to go back to their room if they were not ready to deal with it at this time.
The general idea of the Role Play was to take advantage of the "Admission" by the teen that they used. As we stated above, don't get stuck on the details of story of how they came to use, even if they do not ring true. The important thing is they admitted using. Move onto what steps you, the parent, will take including altering their Home Contract. If they are still listening try to discuss what steps they will take to avoid using. Make sure that they agree to work with their counselor / Probation Officer.
TIME TO SHARE SOME FOOD AND SOME THANKS
We took some time for our PSSThanksgiving Celebration to share some wonderful food.
Then we had a chance to share what we are thankful for...
...for PSST and all the people who make up PSST, past and present.
...for Lloyd and Val's conviction that a troubled child cannot work a successful recovery if they return home to the same environment they left.
...for finding a place that we can talk openly with other parents who share similar issues.
...for understanding that we didn't cause our teenager's problem.
...for gaining some hope for the future.
...for having someone to catch us when we trip up.
...for getting a lot of support and encouragement.
...for recognizing that addiction issues are family issues.
...for seeing our child get "one more day" clean.
...for all of our PSST friends with Big Shoulders.
...for all of our PSST friends with Big Hearts.
LET'S TALK SOME MORE
Becky and Tom have a 16 year old son in an inpatient recovery program while awaiting his hearing. He admitted that he understands and accepts that he is there because of his behavior. That is an important first step.
Another step, while your teen is in an inpatient program, is to discuss the tough issues with them. This is the time to begin to present the new ground rules at home and to begin working on their contract. If they are going to act out, or get angry, this is the best time while they are under the care of professionals and away from drugs and alcohol.
And, of course, the other step is detaching and ending your codependent behavior. Detaching with Love is a tricky but very necessary step in regaining your emotional health. It is a lifelong commitment to one's recovery and is something that needs to be practiced daily. There are a lot of triggers for parents that can start codependent behaviors all over again.
You can still love your child, but you need to recognize when your relationship has become too entangled, co-dependent and unhealthy.
Thanks for becoming part of PSST Becky and Tom; we appreciate your participation and hope things continue to go well for you.
Our new couple this week was Cheryl and Jim. Their son Andy is at his second inpatient recovery program and they have worked out a lot of their issues by trial and error. They told me they wish they would have discovered PSST a while back. They could have resolved Andy's issues a little bit quicker. They are dealing with issues now with their other kids.
Brothers and sisters of addicted teens can feel ignored, pressure to be the good kid and wonder why their trouble-making brother / sister gets all of the attention. We have on occasion had a brother or sister attend a PSST Meeting to express their feelings.
Sally suggested that she would really like to hear from brothers and sisters of addicted teens on the blog at sallyservives@gmail.com
Thanks for joining us at PSST Cheryl and Jim. We hope to see you at more PSST Meetings.
Candy's 18 year old daughter Tori is doing well in a recovery program for young girls. Candy and her husband Aaron had the fortitude to stand up in court several times this summer. They did all they could to see that their daughter Tori was returned to an inpatient recovery program. Like many of us, Candy and Aaron’s family have a while to heal themselves along with Tori. Addiction is a family disease and we all need to continue to work at our recovery.
Thanks for being part of PSST Candy. You and Aaron have kept your daughter clean, safe and alive.
Daisy has a 15 year old son, Ozzie, in an Inpatient Recovery Program.
He is there and he has been clean for almost 70 days because Daisy also stood up in court. PSST has enabled us parents to take on the power we need to see that our teenagers receive the help that they need. We appreciate the effort you have made in just a few months Daisy.
Thanks for sharing your story with us Daisy. You have shown us all how well Act 53, and a determined mom, can work for our teens.
Violet has an 18 year old son Sal who is in a halfway house.
Violet has gained a lot of power since August and let her son know that:
“I am holding you accountable for Your actions; I am not holding your actions against you.”
Sal is now teaching Martial Arts at the Halfway House.
Thanks for being part of PSST Violet. You’re helping your son and your helping our new PSST Parents. Make sure that you take care of yourself.
Alice's son Ed has recently completed his inpatient program and is attending school. He is also dreaming of starting up his landscaping business again. Ed and Ralph were at a Church Men's Meeting.
Thanks Alice & Ralph. You two have added a lot of encouragement and assistance to PSST
Sally & Rocco have not seen Cisco since our "beginning of the month" visit with him. We've had good reports and have been generally pleased. Cisco's program does not allow for a visit on Thanksgiving Day. We are taking advantage of this and recharging our batteries with a mini-Thanksgiving vacation. We strongly encourage any parents with teens safely in an inpatient program to do the same (even if it is just a two or three day get-away).
You need to have some time for yourself again.
As the saying goes, Sally and I continue to take our family's recovery one day at a time.
Marcie has a 16 year old son, Chuck, who is awaiting his day in Juvenile Court and has been assigned a Probation Officer. Marcie is going to work with the P.O. to see that her son get the help he needs. Her son has been up and down in his behavior the last few weeks. Chuck’s time at his Intensive Outpatient Program has been increased because of his attitude and attempts to manipulate his parents. He has tested clean for drugs but his mom is still concerned that he may be using K-2 Spice and alcohol.
Marcie has the conflicting counselor concerns as Max - see the "Should I give him some space" above concerning how much space should you give a teen in their recovery.
Now that Chuck has a P.O. Marcie will have some much needed support to help him move in the right direction. She cannot control what happens at her husband Linus’ house or improve Linus’ attitude. For now she will work with the P.O. and the system.
Chuck will also need to prior to the juvenile court hearing that his mom can be there to back him up or she can be there to make sure that the truth is told.
No lies, no secrets, no covering up and No Parental Guilt.
It is not easy Marcie but you are doing the right thing – Keep attending the PSST Meetings, we’re here for you.
Lois has a 16 year old daughter Meg who is facing a hearing on DUI charges.
She said that Meg seems to be keeping things under control and is behaving. The friend that Meg got into trouble with contacted Lois to apologize (for what it is worth).
Teens in Pennsylvania can have their driver's license suspended for underage drinking. Each time they are found guilty the suspension can grow. This can be used as a good consequence for them using alcohol.
Thank you for coming to PSST Lois. We’re here to support you.
Remember it is okay to be angry with your teen. Just be careful how you express your anger with them. Parents can channel their anger, in a good way, to let go of our guilt and hold our teen accountable for their actions and responsible for whatever consequences they receive based on their actions. Trying to "get them off" of their charges or paying their fines and restitution is just another form of "Enabling Behavior". It's wrong.
June and Lily, good PSST Moms and good PSST friends, made it to the meeting and were both good enough to concede their time so that others could share.
We really appreciate both of you at PSST June and Lily. Please keep on coming to the meetings. June has done a great job of sharing her story on the blog. We would like to see Lily share hers as well as any of you parents out there. You never know what is going to help another parent out there.
We had final comments to finish up another good meeting and we all left with a little more wisdom and confidence to face our teens and the world of alcohol and drug addiction.
Note from Rocco: Wow. That was another Great turnout! It was also a lot to remember. If I missed anything, anybody, or got something wrong, or you just want to comment please do so at the bottom of this post or send your comments to sallyservives@gmail.com
Our Thanks again to all at PSST, and of course our sincere thanks to OUTREACH TEEN AND FAMILY SERVICES for the use of their space.
We look forward to seeing more concerned parents on Saturday, December 4 for the next PSST meeting and our continued holiday "pot-luck" celebration at:
Allegheny County Eastern Probation Office in Wilkinsburg.
Please consider making it to the next PSST Meeting. We are not here to judge you we're here to reach out and help you.
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Should I give him some space? (Meat or Potatoes? Written by Max and Lloyd)
Posted by:Lloyd Woodward--Tuesday, November 23, 2010
Excerpt: "But, I said I've been trying things my way for about 4 years now, and no good has come of it. It is time to take a leap of faith and do things a different way". It was scary for me because I assumed I was giving up all of my control - but in fact I gained more by hovering less." (Max)
I'm not saying that the focus at IOP (Intensive Outpatient) and the focus at PSST isn't a bit different. Of course our approach and their approach is a little different; I think of us as two different circles or two different schools of thought. Still, our circles overlap more than they don't.
At our last meeting a parent asked this question; however, it was at the very end of the meeting and time did not permit a complete response. I then had an email exchange with Max, a PSST mother that helps clear up our stand on the "IOP Give him some space" and the "PSST Hold him accountable" positions.
First, Max's reply to my email expressing concern that perhaps I was a bit pushy when I gave her some ideas on her Son's relapse and hoping I wasn't too assertive when I asked her to do a role-play. We had a large meeting and I just wanted to squeeze a little role-play in so that we could get back to sharing and Max agreed to help me out. I was worried that I bullied her into participating :-(
Max to Lloyd
Lloyd,
Thank you so much for this note, as I am in full-blown WIS syndrome at the moment!
I totally respect and appreciate everything you have to say and opinions offered. I was very down yesterday, but not so much because of you and doing a role-play. Michael has been doing so well for a good stretch, and obviously, it hurts when he falls. My husband, Mel, and I agree that there needs to be a substantial response to the relapse.
We agree with much of what you suggested. However, we will modify a bit as we see fit for Michael and his particular personality and circumstances.
Today he is meeting with his mentor, tonite his NA meeting, and tomorrow his Probation Officer. Car privileges are gone for now, and we are revisiting the contract. He will talk to his therapist when she returns on 11/30. Most important to me, he feels bad and scared and he will have to sit with that for a while.
Just so you know, one of the most valuable things you told me yesterday was probably one of the simplest ideas. One problem I have is when the kid is (obviously to parents) lying. We point out "but it couldn't have been that way; if it had, it would be such and such". Of course the kid gets more defensive and doesn't have the nerve to come clean. I think Mel and I are too stuck on what the actual circumstances were. So when you said "it doesn't much matter if his version is accurate or not - he is clearly hanging out with the wrong kids, so revisit the contract". THAT made huge sense to me,and it is something I have no issue addressing. I have found that I must be 100% confidant in what ever I am going to do or I won't be able to enforce it properly. [ Lying post]
We don't always have to do exactly what is suggested, either. We can tweak things to fit our family, our ability to carry things out, and our kid's personality. Sometimes parents are torn - which way to go, therapist or PO? (good title for a post) - I really feel (at least this is true for me) that a combination of GOOD IDEAS AND INFORMATION works best. Sort of like when you have one spouse who is very black and white, and the other who may be more emotional and wants to talk things out more. The combination is golden.
So, I like PSST because it presents the more black and white, concrete ideas that will help when dealing with the kid's behavior. I use the Gateway therapist to sound off more on the disease, and her opinion of using behaviors and signs to look out for. I then like to make a stew, and have both meat and potatoes to offer. Probably my husband would do ONLY what PSST suggests, but I see no harm in augmenting ideas with more info.
So, you pushy SOB, you haven't frightened me. Your input is always appreciated, and I will be there next meeting! Have a great holiday
Max
Here is Lloyd back to Max:
Max,
Hahaha I enjoyed reading this. Thanks and of course we encourage people to make a stew and yes you and Mel are the Resident Experts on Michael :-)
I am writing a post on "Give Him Some Space" verses "Hold Him Accountable." My theory is that there are two circles or schools of thoughts. They are different; however the circles overlap more often than people realize. For example, the nagging parent needs to give their kid some space. The over-controlling parent needs to give their kid some space. To me that doesn't mean you start letting the kid make life-threatening or recovery-threatening choices; however, both IOP and probation don't think that nagging and trying to control every issue e.g., whether or not he returns his girlfriend's phone messages is worth the effort.
You will remember that at PSST we caution about ways to approach the Oppositional Teenager. We know that the more you nag, lecture, advise, or try to reason with your teenager the more they likely they will be to put up a wall. If we could reason with our kids and if that worked there would probably be no need for PSST because the whole lot of us are pretty reasonable people.
Sometimes the parent who is not giving the kid any space (nag nag nag and lecture) isn't holding the kid accountable at all. On the other hand, sometimes the parent who is enforcing limits with the kid is giving him a lot of emotional space- i.e., no lectures, no nagging, no "reasoning" The parent who is giving the teen that kind of emotional space knows that none of that helps- it just pushes teens away and puts up walls.
Another good example of possible overlap is the GED verses the High School Diploma. Parents love to weigh in on this one and there are strong values at play. Why not give the kid some space? A teenager can be successful either way. A teenager can stay clean either way. Lots of parents will not give their teen any space with this one. But see, the parent who is all fired up on the GED-isn't good enough thing might be the same parent who when it comes to who the kid associates with let's him go with Johnny So and So who is known to drink and do drugs.
"Give him some space, he has to make some mistakes," the GED-isn't good enough parent might say. But their kid is coming out of a rehab! HELLO! Sorry, if IOP says give him some space on that one but I beg to differ. We know too much about the consequences of that bad decision. So, here you have parents not giving space on the GED-isn't good enough thing but giving space on the drug-abusing peer situation. One is life- threatening, one is not.
In summary, while there are differences between the two circles there are big overlaps. Huge ones. Both circles recommend that the parents give a kid some space. It's more a question of give him space about what? These teens have to find themselves as individuals. They can not just be little Mini-Mes of the parents. They actually have to find something to rebel about. It's important that they rebel. Having a tattoo or not might be a good way actually to rebel, all the better that it drives a lot of parents crazy.
Back off I say and give the teen some space. Let him make some bad decisions and learn from those bad decisions. Just don't do it on the life-threatening bad decisions. He'll have plenty of time to make those life-threatening bad decisions once he moves out and is on his own.
Anyway, I liked your email. If it helps my post do you mind if I use your email? I could use your pen name or I could just leave it from an anonymous parent?
Lloyd
Max to Lloyd #2
Lloyd,
Quote away, I say! Or, just plagiarize if you must!
I totally and completely agree with all below. Here is what I have experienced in IOP. When the therapists say "back off and give a kid space", they mean exactly what you do. For example, they just told one of the parents to back off, give her daughter space. You can see by how this parent explains her situation, that she nags incessantly and tries to control [everything]. I have been there and heard how and what and why they are saying 'back off" to her. I'm afraid that she doesn't understand what they mean in full, and she refuses to try, or is so afraid of "giving in." So, she gets angry and feels like a "bad parent" when she is at Gateway.
Perhaps if the counselors said "back off in areas of school and dress, etc, but take control when it comes to dangerous situations" it would be better understood. Or, perhaps they are more liberal in the "let them fall on their face" quote than you are. But I think you overlap as you said more than not. That is why your post will be important.
When parents feel that they can and should control SOMETHING, they feel better. Likewise, when they realize it isn't their place anymore to check five times on the homework, it can be a relief. There are some parents, who refuse to look at their own personalities and behaviors as things that should be tweaked a bit, in order to have better control in their home. I know real change came in our family when I changed some habits that I thought I never could or would change. But, I said "I've been trying things my way for about 4 years now, and no good has come of it. It is time to take a leap of faith and do things a different way". It was scary for me because I assumed I was giving up all of my control - but in fact I gained more by hovering less.
Which brings me to GED vs. diploma. One of the most difficult and painful things that I went through was adjusting my brain to what Michael was really all about academically. Yes, he is adopted. But I thought "by osmosis, he will have the same desire to learn and go to college and read and be like us". I have gone from pushing him in advanced classes (he has a gifted IQ - so what!) to telling him to go get his GED if that's what he wanted. I really mean it too - it is his life, not mine, and if he "makes a mistake" by not graduating, it's his mistake and it will be up to him to do the work needed for a GED or whatever else. One thing is for sure - that is not a life and death risk.
The Great OZ has spoken. Quote away, I say! Or, just plagiarize if you must!
MaxLloyd to Max #2
Thanks Max; I like your analogy of the meat and potatoes. Some people can't stand it when their food touches on the plate. They want to keep everything neat and separate. This is the meat, this is the vegetables and over here we have the main course, yummy meat. Oh look out! The meat and vegetables touched! Oh no!
Well, this parenting thing and getting treatment and advice from different places sometimes gets a bit messy. Sometimes the one touches the other. And also there is more than one way to skin a kid. And teenagers are different too. So, make a stew and if that's working for you, we don't argue with success at PSST. If on the other hand, things aren't working out the way you think they should, we'll help you make a stew that might work a little better.
Lloyd
Note on being in charge at home:
There is one other area of possible difference although I think it's more a difference in emphasis. At PSST we believe that there are some things a parent does to maintain a position of power. These things may or may not have to do with things that lead to drug abuse, but sometimes parents maintain a certain stance just because.
That's not to say that the stance should be crowding the teenager. We don't believe, as is said above in that approach. Hovering, nagging, making every minute a teaching moment, having the last word all the time, that's not what we are talking about. On the other hand, getting up in the morning is a good place for a parent to assert that they indeed are in charge. You can read about our recommended approach here. If your teenager has a drug problem then it's important to make sure that he gets up in the morning. If he doesn't have one or if he is in recovery it is still a good idea.
There are two things at play here: one, whose in charge? And two, if a teenager sleeps in in the morning then he will be up at night. Who supervises at night? If your house is like most people's house the parents sleep at night. Also, a lot of addicts will tell you that the urges to do drugs are stronger at night. There you have it. Still, rather than contradict what we said above it compliments it. If you are clearly in charge, then it's easier to back off and let your teen have some space. If your teen is in charge then it is very difficult to give him some space and instead parents tend to nag, hover, obsess EXACTLY because they are trying to compensate for not being in charge.
Being the one in charge has more to do with boundaries and knowing the areas in which you are NOT COMFORTABLE. It's not about over-controlling the youth.
Some people argue that if the teenager sleeps in and then has to suffer the consequences of bad grades for not showing up in school or not showing up in school on time then that will suffice. Perhaps. But if you have a teenager recovering from drug abuse he might relapse before he gets the bad grades. Perhaps at IOP they advise you to let your teenager sleep in and suffer the consequences for that. That has been known to work with some teenagers. I disagree for our teenagers. For other teens that may not have an abusive relationship with drugs I think that might work; however, I still feel that it makes sense to have a rule that teens get up perhaps with exceptions on the weekend if your teen is doing OK in other areas. Even with that example, we don't recommend nagging them incessantly to get up. Just have a good system and stick to it. Once you have a good system there is much less nagging.
So, there is room for healthy disagreement here. We believe that parents should be in charge. Nature abhors a vacuum so if there isn't an adult in charge then a teenager will be. Still, it should be done with understanding that you can't control everything and that even if you could you wouldn't want to do that. Teens must rebel, they must be able to make some bad decisions and thats how they find out who they really are.
Good questions to ask yourself:
How does your teen rebel? Is there an acceptable outlet for that?
Can you back off when it comes to decisions that are not drug / alcohol related and are mostly about the teenager rather than something that affects the whole family?
Can you let your teen make some decisions, knowing that some of them will look like bad ones?
Do you tend to nag a lot?
Do you have long lectures?
Do you feel that every moment needs to be a teaching moment?
Do you have to prove to your teenager that you are right all the time?
Do you spend time with your teenager where you are not dealing with control issues?
Your teenager should be right sometime. Perhaps you could be wrong. That's OK depending on what the circumstances are. Perhaps your recovering teenager wants a new sponsor. Maybe you liked the old one. Perhaps your teen wants a new girlfriend and you liked the old one. His decision- UNLESS the new sponsor doesn't go to meetings and doesn't work the steps. UNLESS the new girlfriend smokes weed a lot.
Perhaps your teenager wants a tattoo. Maybe you should consider this as an acceptable way to be a rebel. UNLESS, the tattoo is really way to large or UNLESS the tattoo is on the face, the hands, or the neck. UNLESS the tattoo is a marijuana leaf. But to have a rule that there are no tattoos, just says to the teenager that they have to find some other area in which to rebel OR just be defiant and go get that huge marijuana leaf on your chest!
Of course if your teen is allowed to make other bad decisions and fail at those then the tattoo might not be the way that you as a parent allow them some space. Maybe you just can't live with that. That can be OK also. Maybe they have to wait until they are 18 for that tattoo. The bottom line is pick your spots. Pick the areas where you give them space. Pick the areas where you are non-negotiable.
Enforce rules. Everything can't be about warnings. Have consequences that fit the violations. Don't use more power than you need to make your point. "If you have a rule enforce it. If you are unable or are unwilling to enforce a rule- don't have it." (Gregory Bodenhamer, author of BACK IN CONTROL).
Probably now the food on the plate is all mixing in. Ok, make a stew then cause it's all going to the same place anyway!
Related Post: What to Do When Your teenager beats you up with words from his therapist.
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