Depression

How can we help the addict who is also mentally ill?

A. Understanding "Dual Diagnosis" -- Up to one-third of today's homeless adults are mentally ill. The trend toward "deinstitutionalization" of the mentally ill has meant that our city streets are now being flooded with people who at one time would have been hospitalized for their problems. As many as half of them are also addicted to alcohol and/or drugs. Many are "self-medicating" -- using addictive substances to cope with their mental problems. Social service professionals usually do not like working with these "dually diagnosed" people because they can be so demanding and time-consuming. They can be too destructive and troubled for the typical addiction recovery program. And, mental health workers shy away from them because they often do not stay sober long enough for treatments to be effective. So, they end up at the rescue mission.

Part 1

How do feelings affect the addict in the early stages of recovery?

This second installment on the role of emotion the recovery process will focus on the first 30-90 days of sobriety. The truth is, most addicts return to drugs and drinking when sobriety becomes too stressful for them. Therefore, teach them to deal with their feelings in a healthy manner greatly improves their chances of achieving long-term sobriety.

A. The physiological impact on emotions.

The first few days without drugs and alcohol are characterized by disjointed thinking and emotional upheaval. Newly sober people tend to be very anxious and uptight. This is due, in a large part , to the fact that alcohol and drug use have caused their bodies to be depleted of many important neurochemicals, like endorphines, that contribute to a normal state of well-being. Crack and cocaine users especially, experience anxiety, abnormal fears and difficulty sleeping. They can be short tempered and they have short attention spans.

Part Two

A Christian friend once told me, "Well, why even talk about feelings, because you can't trust them anyway. The Bible says, Have faith and don't trust your feelings." Well, that's not really a healthy attitude at all, because feelings are real. Denial is all of these repressed and stuffed emotions, and part of sobriety and getting better means that all of a sudden all of the pain that has been pushed down. And anger, and everything else that has been there, is going to start rising to the surface, and these people will start feeling depression and loneliness and fear. And we need to be prepared to hear those things and to respond to them in a supportive, kind way. It doesn't mean that -- and some of those feelings are not accurate at all, but still need to be respected and accepted. It has to be there.

I have been in counselling now for many years, working with God, my counsellors and myself with all my might to overcome the scars of the past. Sometimes those scars leave me feeling lonely and longing for someone to be with me. I know I am not the only one.

Many people suffer with loneliness in our society, and many generations. Seniors suffer from loneliness when their spouses dies. Couples suffer loneliness when one partner works extra long hours to make ends meet. Teenagers suffer from loneliness when they cannot make and keep friends. Children are also lonely when, as children do, choose other friends than them for a time. People with disabilities suffer because they are unable to get out into society. And the patients of mental health suffer loneliness in silence, ashamed to tell anybody they are lonely because they fear they will look weak.

We're commanded in Hebrews 12:1 to "lay aside every weight" so we can "run with patience the race that is set before us." Consider that first command: lay aside every weight, every burden that slows us down in our race forward. If we're dwelling on the past, that means we've stopped running, picked up some weights we were commanded to drop, and are giving them (not God or His commandments and His service) all our attention. No wonder we stop running and even start walking backward. For good reason do race horses wear blinders that force them to look forward, blocking out distractions so they can focus on the race.

Even worse, Hebrews 12:1 continues on into the second verse, explaining what we should be looking at when we run the race "set before us" (set in front of us): "Looking unto Jesus the author and finisher ofour faith." If we're looking at the past, we're violating this second command of God's: we're not only picking up weights and burdens we were told to lay aside, to drop to the ground and regard as worthless impediments, but we're not looking at Jesus but rather at those forbidden weights instead. We should be rejoicing that Christ tells us to drop all these weights. Satan's worst enemy is a Christian focused on the future and running his race well.

The unrelenting sadness and hopelessness that characterized my experience with depression is something I will never forget. In the grips of depression I often felt paralyzed, not possessing the strength to rise from bed or even to open my eyes in the morning. I felt completely alone, unable to make contact with anyone, not even Almighty God. I lost interest in life and the things that make life special. I became reclusive and withdrawn, not wanting to be with friends I alternated between insomnia and exhaustion. I couldn't concentrate. And always, I felt inexplicably sad. Nothing made me happy. Most frightening of all, I made intricate preparations for my death. ¹

This year, 17 million Americans will suffer from depressive illness. In 1988 the General Accounting Office estimated that up to half of the homeless suffer from chronic phychiatric disorders. ² - many also addicted to alcohol and drugs. While severe forms of psychosis are readily recognized, depressive disorders, which are more subtle, can be overlooked as factors that prevent program participants from moving forward in recovery.

Here is a series of Christmas prayers and blessings. Included are prayers for a season of grief, sorrow or loss and for those who struggle at this special time of year.

Christmas Dinner Prayer

In the peace of this season our spirits are joyful:
With the beasts and angels,
the shepherds and stars,
with Mary and Joseph we sing God's praise.
By your coming may the hungry be filled with good things,
and may our table and home be blessed.
Bless us O Lord, and these Thy gifts,
which we are about to receive from Thy bounty
through Christ our Lord. Amen.