Daily Articles

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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Involving Mission Recovery Participants in Church

Note: Even though this was written for rescue missions, it is of value to anyone working in the recovery field.

Over twenty years ago, Rev. Maurice Vanderberg, Executive Director of City Union Mission in Kansas City, hung the purpose of their new Christian Life Program on their chapel wall. It is a statement that should describe the intent of all rescue mission recovery programs:

    “Our goal is to see every man becomes a mature, contributing member of a Christian community.”

People become homeless because they are disconnected from meaningful relationships with others. They don’t know how to access social support systems. And, for most, their trust level is at about zero. As they complete our residential recovery programs, we must assist them to become “plugged-in” to places where they will experience the support, nurture, and encouragement they need to grow in faith and in sobriety.

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The Emotional Dimension of Recovery, Part 2

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.

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The Emotional Dimension of Recovery, Part 1

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.

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