Blog

Avoiding Romantic Relationships in Early Recovery

People, Places, and Things A support network is not synonymous with romantic relationships. Our problems, and our solutions, are usually found in relationships. Whether at work, home, or community, our sources of joy and stress include people. Relationships and their quality have a direct impact on the quality of substance use disorder recovery.  Romantic love is a complicated topic in...[ read more ]

Managing Co-Occurring, Mood, and Mental Wellness in Early Recovery

Managing Co-Occurring, Mood, and Mental Wellness in Early Recovery Successful recovery and sobriety demands that people identify and treat any co-occurring mental health issues. Maintaining and managing our mental health is part of a comprehensive recovery program. Without a plan for managing mental health, people in recovery are vulnerable to the symptoms of depression, anxiety, trauma, or other mental health...[ read more ]

Relapse Prevention Thru the Lens of Immunity

Substance Use Disorder is Like Other Illnesses I’d like to discuss relapse prevention using the analogy of disease or illness immunity. I’m going to show how substance use disorder and alcohol use disorder function like other illnesses and how the concept of immunity applies to recovery from substance use disorder. In recent content, we discussed how a substance use disorder...[ read more ]

The #1 Reason People Relapse (and how to prevent it)

Relapse and Stress  The #1 reason people relapse** to alcohol or drugs or other unhealthy coping is stress. It’s a complicated and multidirectional relationship that we are going to break down and understand through the science. Stress is a known and quantified challenge and trigger in sobriety. Evidence strongly suggests that the neural circuits involved in stress and emotions overlap...[ read more ]

6 Answers to the Question “How Did I Get Here – How Does a Substance Use Disorder Happen?”

The Science of Addiction** Clients often ask me “why” they drink, use drugs, or behave compulsively with repeated unhealthy coping. There are 6 broad categories that inform the development of a substance use disorder. While “chemical dependency education” does not transform people or create lasting change, it is a necessary part of the treatment journey and it’s needed for lasting...[ read more ]

Okay, I give up.

Uncle Apparently my life’s role is to provide information, support, and guidance for people who are taking charge of their substance use ** issue. It seems that It’s especially for people who are hoping to put together a plan that is based on current research and not cliche concepts or cookie cutter advice. I wanted to give an explanation as...[ read more ]

Marcia, Marcia, Marcia (Or, Trauma, Trauma, Trauma)

Yea, that’s how I felt when the addiction research industry started - and continued - to talk about trauma.  (Now that I think about it, The Brady Bunch is a good reference for this blog post. Those kids were YOUNG when their respective parents died. They had an understood “don’t ask, don’t tell” rule about talking about their grief and...[ read more ]

Don’t Try This At Home (Intervention for Substance Abuse)

Introduction to Intervention I recently shared that I was going through my old blog posts and site copy to update to person first language.** I came across one of my first blog posts on the Myth of Readiness. In it, I discuss how it’s a commonly held belief that a person with a substance use disorder (SUD) needs to “be...[ read more ]

Isn’t AA (or 12-Step) Enough?

people sitting in chairs in an AA meeting

Holistic Substance Use Disorder Treatment In May, I celebrated 31 years of sobriety. I’ve seen a lot of changes in the recovery** community over the years. One encouraging change is the open, and sometimes even welcoming perspective on the need for professional help for some people in recovery through 12-Step participation. It’s important to know, also, that 12-Step participation is...[ read more ]

“Age of First Use?” What the Hell Does THAT Mean?

"Age of First Use?" What the Hell Does THAT Mean? Go to any intake or assessment for drug and alcohol use**, and one of the questions you’ll be asked is “What was your age of first use?” The question might seem trivial. Because it’s when your use got problematic that is the concern, right?  Yes. Right. And no. The age...[ read more ]



24618 Kingsland Blvd 2nd Floor, Room 8
Katy, TX 77494
On the left hand side of the CLS building

recoverytherapist@joanneketch.com
(281) 740-7563


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