But, What Do I Do At Parties? One of the first questions I get asked early and often in working with clients who are trying to change their relationship with alcohol is “But what about parties?” Here are some of the forms that question takes: What do I do when someone offers a drink? What do I say when someone...[ read more ]
I Don't Belong Here Frequently when I get a new client that I hear a variation of “I’m not like that.” I treat a lot of high functioning persons who have substance use disorders, high functioning persons who misuse, overuse, abuse or are addicted to substances. Rarely do they identify as “addicts” or “alcoholics.” ** If they have been in...[ read more ]
What IS Normal Drinking? Holidays Today is a culturally normative day of drinking; long before Day Drinking became codified into our social structure as a meme, it existed as a ritualized event or expectation. The culture of celebration and the (over) consumption of alcohol has a long history in the United States; Super Bowl, New Year’s Eve, Fourth of July,...[ read more ]
I Can’t Have A Problem With Drugs or Alcohol... Even though stereotypes and stigma have been amended significantly, the ideas of who can be a person with a substance use disorder ** still outdated, limited, and provides “cover” to persons who are using defense mechanisms to avoid looking at their relationship with alcohol or drugs. Below are 3 composite vignettes...[ read more ]
Defense Mechanisms Intellectualizing, Rationalizing, Cockiness, Justifying, Explaining, Analyzing In my ongoing series of posts featuring the defense mechanisms used by persons with a substance use disorder (SUD), we've covered: Passive/mild styles: Denying, Lying, Silence, Withdrawing Dismissive techniques: Minimizing, Humor, Compliance Aggressive tools: Manipulating, Accusing, Judging, Projecting and Threatening, Blaming, Shouting, Defiance Today, we'll consider the cerebral set. These are common...[ read more ]
Defense Mechanisms Threatening, Blaming, Shouting, Defiance This is the next in my series on Defense Mechanisms used in substance use disorder**: drug, alcoholism, or behavioral (also known as process) addiction. Defense mechanisms are the behaviors that persons with a SUD use to protect their use by keeping those close to them away. These methods can be passive, aggressive, cooperative, or...[ read more ]
Defense Mechanisms (Denial Series) Manipulation, Accusing, Judging, and Projecting We have been introducing and delving into various defense mechanisms that persons with a substance use disorder (SUD)** use with family members, friends, and even themselves. The introduction to the series is here featuring denial, lying, silence. The post discussing the use of humor, compliance, and minimizing is found here. Our...[ read more ]
Defense Mechanisms (Denial Series) Humor, Compliance, Minimizing In a series of blog posts, we are highlighting and discussing in detail defense mechanisms of persons with a substance use disorder.** To help concerned family members and loved ones understand the forms that "denial" takes, we are looking at the various ways an addicted brain finds to protect the addict’s use of...[ read more ]
What Is Addiction, Anyway? First, a brief science summary: A brain that is hijacked by substance use disorder (SUD) seeks to protect the use of substances (or the behavior – process addiction). A person who suffers with this disorder will develop defense mechanisms – what most people call “denial” – in order to keep people away from identifying the truth...[ read more ]
