Addiction

Support Groups in the Church

How do “support groups” help church members who are struggling with addiction and other life issues?

    A. “Support groups” are not a new idea for the Church — John Wesley’s “Rules for Small Groups,” written in 1816, is an outline that embodies “the Method” from which the name “Methodist” came. This method resulted in one of the greatest revivals the world has ever known. Believers gathered together in small groups, sharing honestly, becoming accountable to one another, asking probing questions, praying for one another with a deep knowledge of their mutual needs and struggles. Any believer can benefit from this type of gathering. It can be a tremendously healing and encouraging experience for those in recovery.

Support Groups in the Church Read More »

The Hamster Wheel: Are You Doing the Same Thing Over and Over?

The famous phrase, “the definition of insanity is doing the same thing over and over again, yet expecting a different result” can probably best be depicted by the hamster on the hamster wheel.

Ever had a hamster as a pet? When I was eleven, I had one by the name of Mitsy. The concept of having a hamster didn’t quite measure up to the actual reality. For one, I could never pick her up and cuddle her. One attempt at doing so, Mitsy whipped her head around and sunk those two long front teeth into my finger. Here’s a helpful factoid: hamster bites HUR-R-R-R-T!!!

And then there was that hamster smell, emanating from her cage. I don’t think I need to elaborate.

The Hamster Wheel: Are You Doing the Same Thing Over and Over? Read More »

Depression and the Recovery Process

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 I became reclusive and withdrawn, not wanting to be with friends I alternated between insomnia and exhaustion.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.

Depression and the Recovery Process Read More »

Checklist of Symptoms Leading to Relapse

While each individual must maintain the disciplines that insure sobriety, there are ways in which others can help. Nearly every person close to the addicted person is able to recognize behavior changes that indicate a return to the old ways of thinking. Often these individuals and fellow Christians in Recovery® members have tried to warn the subject, who by now may not be willing to be told. He may consider it nagging or a violation of his privacy. There are many danger signs.

Most addicted people, if approached properly, would be willing to go over an inventory of symptoms with a spouse or other confidante. If the symptoms are caught early enough and recognized, the addicted person will usually try to change the way they think, to get “back on the beam” again.

A weekly inventory of symptoms might prevent some relapses. This added discipline is one that many addicted people seem willing to try. The following list can be used by spouses, close friends, or the addicted person.

1. Exhaustion: Allowing yourself to become too tired or in poor health.

Checklist of Symptoms Leading to Relapse Read More »

Professional Distance in Addiction Counseling

Sooner or later, every counselor will face the fact that he or she is not able to help everyone who becomes involved with their program. Recovery programs can have a very high turnover rate among their residents. Among rescue mission workers, some have reacted to this situation by becoming discouraged, “burned out,” or even skeptical about the chances of any homeless addict “making it.”

Why Professional Distance is Needed
Often, when people first hear the term “professional distance”, they think it means are to be cold, unloving and uninvolved with those we counsel. Actually, it is just the opposite! Over involvement on an emotional level causes counselors to lose their objectivity. They cannot exercise proper judgment in their dealings with those with whom they are seeking to help. Instead, counselors can practice favoritism toward some residents and even end up feeling rejected by them when they don’t respond favorably to their attempts to help them.Mostly, a lack of professional distance is manifested when workers have an improper sense of responsibility for the actions and decisions of their clients. And, it is important to remember that, since so many of those we work with at rescue missions have a background of addiction and codependency, they know how to make others feel guilty about not “taking care of them.”Mission workers must be committed to being part of the solution and not a part of the problem. Their own unresolved issues will inevitably hinder their ability to minister effectively to others.

Professional Distance in Addiction Counseling Read More »

Client’s Boundaries and Recovery

In our two earlier installments, we highlighted the importance of counselors carefully guarding their own personal boundaries while working with troubled people. Respecting the boundaries of those we seek to help is equally important. Here are a few thoughts on the topic:

A. We must teach and model healthy boundaries

    People who grow up in dysfunctional families tend to believe that they are not allowed to have personal boundaries. Though abused and mistreated, they do not feel they deserve anything else. As mentioned earlier, a personal boundary is, essentially, the line that divides me from you. Without boundaries I can’t tell what’s my stuff and what’s yours. Something as simple as saying “No” to drugs and alcohol – or to sin in any form -is a boundaries issue. To do so takes a commitment to caring about myself, while seeking to maintain a growing relationship with God. So, teaching and modeling healthy boundaries is vital if these folks are to begin the road to recovery.

B. “Fixing” vs. “Empowering”

    Healthy recovery can not happen until an individual is able to establish a program of “self-care.” At the Pool of Siloam, Jesus said to a crippled man, “Rise, take up your bed and walk. ” (John 5:8) In a very real way, this illustrates how we ought to minister to troubled people.

Client’s Boundaries and Recovery Read More »

Married to an Unbelieving Alcoholic

Ask Angie: My husband is an alcoholic. Although I have committed to staying with him, I can’t help but regard him with disgust even AFTER he’s been drinking. Thanks to the biblical principles you teach, I’m learning how to detach when he’s drinking, but in the days following a drinking binge I don’t feel any affection for him. In the early days of our marriage (we’ve been married 20 years), I was able to warm up to him once the drinking passed. Now I am just filled with disgust. Please give me some advice. Thank you.

Marriage Guidance: We commend you for your commitment to your marriage. This shows your love for God and your willingness to please Him and do His will. You are an inspiration for others who are living with an alcoholic spouse.

Your feelings are understandable seeing that some alcoholics can be sloppy in behavior and unclean in appearance and habits. The behaviors and appearance of the alcoholic can cause much resentment build up, which is what’s happening with you. You are just now learning to detach and part of detachment is separating the alcoholic behaviors and sickness from the person you met, loved and married. When we allow the alcoholic behaviors to overtake our own thoughts we will become disgusted and resentful over the alcoholic, even during bouts of sobriety.

Married to an Unbelieving Alcoholic Read More »

Organizing the Addiction Counseling Process – Part 5

Part 1 | Part 2 | Part 3 | Part 4

In our last installment in this series we discussed, briefly, the importance of meeting the needs of each individual in the recovery program. To do this most effectively, a process of documentation is essential, using paper forms or computer-based data collection. In residential recovery programs for the homeless, it is also important to adopt a team approach to working with our clients.


    A. Developing a system of documentation.
    The essential elements include:

      Regularly updated recovery plans/contracts
      Daily progress notes
      Summaries of one-on-one counseling sessions

    When all of these elements are in place, supervisors can get a good picture of what each counselor or chaplain is doing with each of the individuals with whom he or she is assigned work. Besides serving as a measure of job performance, proper documentation makes it easier for another counselor to step in and keep working with the client if that is necessary. Good documentation provides a permanent record that can be accessed if the individual leaves the program and returns at a later date. And, it provides valuable information that may be used by other ministries or agencies that work with the client in the future.

Organizing the Addiction Counseling Process – Part 5 Read More »