CIR KBs

Christians in Recovery Knowledge Base article

Special Counseling Concerns for Women

1. A special strategy for people with drug and alcohol problems is essential
Addicts have special needs that the “garden variety” sinner does not have. They can be identified by using a standard alcohol screening test during the intake process. Then we can help them to get into an active program of recovery using such activities as support groups, addiction therapy, educational activities, etc. Use community resources if the shelter’s staff does not have expertise in this area. Addiction is a primary issue, so all other help giving will amount to nothing if the person cannot stay sober.

2. The Issue of Toxic Shame
By definition, “toxic shame” is an inner sense of being defective, faulty, unlovable, undeserving, unredeemable and hopeless. It is root problem for addicts, codependents and people from dysfunctional families. Most adults in family shelters fall into at least one of these categories. Toxic shame is the “glue” that holds the wall of denial together and prevents hurting people from accepting the help we offer them. They think – “If I admit I have problems, it proves that I am a worthless, useless human being.” Addiction leads to a total deterioration of a person’s moral life leading to a destructive mix of toxic shame and guilt. The Bible tells us that admitting our problems is not an admission of hopelessness or defectiveness. Instead, it is the key to forgiveness, freedom from our pasts and a new self-image.

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Preventing Relapse

Addicts relapse when it is more painful to stay sober than it is to get “high”. The immediate benefits of ceasing drug and alcohol use include:
improved health, better sleep , return of appetite, and clearer thinking. However, all addicts eventually face a challenge even more difficult than stopping drinking or using drugs — coping with life without them! Doing so involves a whole lot more than just “putting the cork in the bottle”. They must they learn a completely new way of life. We often refer to this process as “recovery” — the Bible calls it “sanctification” — a definite ongoing program of personal growth

Major Causes of Relapse

  • Denial
    inability to accept that one is indeed addicted to alcohol and/or drugs and that it is a primary cause of life problems.

  • Post Acute Withdrawal Syndrome
    inability to cope with a set of very stressful, physiologically-based symptoms that occur only after use of alcohol and drugs has stopped

  • Emotional Dysfunction
    inability to cope with feelings such as grief, depression, stress, fear, etc., without mind altering substances.

  • Relational Dysfunction
    inability to develop and maintain healthy relationships with others.

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Helping Addicts Who Are Mentally Ill

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.

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Forgetting and Forgiving

Say not thou, I will recompense evil; but wait on the Lord, and he shall save thee. Proverbs 20:22

Do not be in a hurry. Let anger cool down. Say nothing and do nothing to avenge yourself. You will be sure to act unwisely if you take up the club and fight your own battles; and, certainly, you will not show the spirit of the Lord Jesus. It is more noble to forgive and let the offense pass. To let an injury burn inside and to think about revenge is to keep old wounds open and to make new ones. It is better to forget and forgive.

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Do I Need a Sponsor if I am in a Residential Program?

Do people in residential recovery programs need “sponsors” in the support groups in which they participate?

Most support groups encourage recovering people to find a sponsor. “Mentorship” is a solid Biblical concept. The relationship between Paul, the seasoned veteran apostle, and Timothy, the young, gifted, upstart preacher is an excellent example.

Still, it is best to delay the process of finding a sponsor until the residential program participant is nearing graduation. While still in the program, the staff serves essentially as the “sponsor”. Having an outside sponsor too early in the program can actually be counterproductive, especially if the sponsor gives guidance that is at odds with what the program’s staff. It can also place the staff in a difficult situation in regard to confidentiality.

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Making Good Referrals

When people look to addiction counselors for help, they come with a wide variety of needs. These include:

  • food, clothing and shelter
  • job counseling and training
  • legal assistance
  • literacy training and other educational skills
  • parenting skills training
  • family and couples counseling
  • medical care and family planning services
  • social support services
  • child care during treatment
  • psychiatric assessment and mental health services
  • help to move into permanent housing

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Symptoms of Alcohol Dependence

Alcohol dependence, sometimes referred to as alcoholism , is the most severe type of alcohol problem and is characterized by three of seven symptoms experienced during a one year time period. According to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, the symptoms of alcohol dependence include:

Symptoms of Alcohol Dependence

    Neglect of other Activities: Important social, occupational, or recreational activities are given up or reduced because of alcohol use

    Excessive Use: Alcohol is consumed in larger amounts over a longer period than intended

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Christians in Recovery Prayer #1

Dear Lord, I humbly come before you this day
to ask that you give me one more day of wholeness.
Free me of all cravings, addictive and dysfunctional behavior.
Show me how I can serve you this day
instead of serving false idols and obsessions.

Fill me with your strength, that I may have hope.
Guide me, that I may walk in your path and not mine.
Cast out all darkness within me and replace it with light,
that I may shine before others who need a helping hand.

In the name of Jesus I pray. Amen.

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Do We Truly Love or are We Only Loving Ourselves?

1 Corinthians 5:9-13 RSV
I wrote to you in my letter not to associate with immoral men; not at all meaning the immoral of this world, or the greedy and robbers, or idolaters, since then you would need to go out of the world. But rather I wrote to you not to associate with any one who bears the name of brother if he is guilty of immorality or greed, or is an idolater, reviler, drunkard, or robber—not even to eat with such a one. For what have I to do with judging outsiders? Is it not those inside the church whom you are to judge? God judges those outside. “Drive out the wicked person from among you.”

If we, the Church, were more obedient to God’s Word, churches would probably be much smaller. Paul’s admonition here is for Christians not to associate with those bear “the name of brother” if:

  • They are immoral
  • They are greedy
  • They are an idolater
  • They are a reviler
  • They are a drunkard
  • They are a robber

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