SOBER FUN

Currently in society "fun" is associated with drinking and using .

Every occasion in most households is incomplete without opening the bottle.

By the time it reaches the stage of addiction drinking and using is no longer fun but is indulged in to keep away pain.

There would be a glass in hand or a nip hidden in the socks when going to watch a movie or a match or picnic . No meal is eaten in a restaurant that does not serve alcohol. A party that does not serve alcohol is not considered worth attending .

Years spend in keeping away pain and the old association of fun with drinking and using leads to a loop of wanting to experience the same feel of fun without alcohol . With this presumption the old hangouts like pubs and restaurants and clubs are frequented but without drinking . However , without intoxication these very places and the company of others who drink and use are not so attractive . The same feel is not achieved which leads to disappointment . Frequenting the same places expecting a different result is the illusion and soon enough the person ends up drinking or using .

It is thus , very essential to include fun activities within the treatment program.

A voluntary system like ours promotes these very activities. Regular life does not only include work, study and family .. A very major part is time spent with oneself and entertainment .

Along with an inner transformation that is required to take place during residential rehabilitation treatment , new likes and hobbies and activities need to be adopted. Part of therapy should be to enable the client to experience that which seems like “normal” entertainment activities like going out for movies, meals , trekking, hiking, reading, art , music, karaoke .

When out on a movie with a client he shared that it was the first time in years that he had gone for a movie without being under the influence of alcohol or weed and that the realisation that he is having more fun without the substance was a revelation to him!

Likewise, another client of ours who was addicted to heroin and socialising over alcohol in pubs as a way to socialise in the European country she came from , realised that “ there is so many stuff to drink apart from alcohol”

For another client going on a picnic meant first filling the car trunk with booze the previous night making sure one would not fall short of liquor, the people and place is secondary. In the treatment process going on a picnic meant planning the place and the food to be taken or eaten.

Singing Karaoke would usually be in a Karaoke bar drunk or stoned and a lot of songs have associations with being intoxicated. In such a situation Karaoke singing in the treatment as fun

Thus there is a perspective shift.

It is very essential for these practical experiences to be a part of the therapeutic residential rehabilitation treatment process

ARE YOU LIVING A NIGHTMARE THAT IS NOT YOURS?

A person starts to drink in the company of friends, at a party, or with one’s father, as an “introduction to manhood”. One feels good, on a high, inhibitions reduced. It becomes easier to say things you would otherwise have not said; talking to the girls becomes much simpler and fun; suddenly one becomes the life of the party.
The desire to feel the same high continues but the same intake of the substance does not achieve this, as the body has developed a tolerance. The quantity of consumption increases.
At the job deals are closed over “entertaining “with alcohol. Problems at work lead to increased consumption. Managing home and work becomes stressful.  The same “high” is not attained, hence the quantity increases. At this stage the family, whether, the wife or the parents start feeling alarmed and start admonishing and asking the person to cut down on the drinks. This is a stage of problem drinking.
Slowly ,  the weekend consumption  becomes daily; from 2-3 pegs it becomes 5-6 or more. Social meetings, family dinners and work meetings are arranged around the availability of alcohol.  Instead of using alcohol, abusing it begins. Sexual desire increases and risk behaviours increase. This happens insidiously. This is Alcohol Abuse.
Then the nightmare unfolds for the person. The thought processes change. Incidents get colored by emotions that are exaggerated, like watching a movie on a 100mm screen. Identification develops with the personality that has changed due to the alcohol. Suspicion and paranoia set in.  He wants to have only 4/ 5 drinks but loses count after that and before he knows it, he is a bottle down. He decides, he will not drink today but in 5 minutes or 5 hours, he finds himself with a glass in hand. He has just gone for a walk after an entire day of not drinking eating healthily, having a nice time with family, before he realizes he finds himself in a bar 4 drinks down. The mornings are terrible, the body unsteady shaking, tremors, a mind befuddled with last night’s hangover, and no memory of how he reached home, whom did he meet, or has he gotten his car back [ “Blackouts” – the person has absolutely no memory of  his words and actions , of what has transpired while he was drunk ] This increases the terror that arises within, giving a sickening sinking feeling – which is then appeased with another drink to stabilise.. Or, months can go without drinking [untreated] and suddenly without warning he finds himself drinking again. This is Addiction to alcohol, the drink consumes he person, and he loses control of the drink and his life.  Thus, he is living a nightmare that he is unable to wake up from.
 The family pulls themselves into this nightmare trying to control his drinking without understanding that treatment is essential at this stage in the form of residential, voluntary, rehabilitation. They lose their identity and identify themselves with his nightmare; [Co dependency] they require as much help.
On reading the above do you identify with the experience of the nightmare that the person drinking is going through? Then,You need to visit drug & alcohol rehabilitation centre.
Or, do you identify living with a nightmare that is not yours?  Then,You need help too.
AH provides a voluntary, residential care in an exclusive ambience, with non –medically, with meditation and counselling techniques as cornerstones of therapy along with other alternate life therapies. It is one of the best alcohol addiction treatment centres.
Help is available through addiction treatment centres, which is just a phone call away.

ADDICTION AND SOCIAL OSTRACISM

Addiction to alcohol/drugs is one of the oldest ailments known to mankind as intoxicating substances have always been around since time immemorial used for recreation, celebration, religious, ritualistic shamanic practices etc.
 There was a time when people were ostracized for being part of a particular race, caste, creed or disease across the world.
Addiction to alcohol/drugs is such a disease that the person afflicted is ostracized by immediate family apart from society at large.
A client’s daughter shared that friends were not invited home as she was ashamed of her drunken daddy. Most times the alcoholic in a blackout says and does things that he has no memory of the next day ... he realizes this by the look on his wife’s face. The addict at least has the excuse that he is under the influence of the substance. What is the excuse of the families who shout, scream and treat them as though they were lepers / untouchables?
People avoid family members of addicts as they do not want to “get involved”. There are sniggers behind their backs and bullying and insults to their faces.
Till even the first part of the 20th century those addicted to substances were relegated to “mad” houses. Today too they land up at psychiatric offices wherein they are given medication for behavioral issues resultant to substance use- further damaging the individual, as many consume both, the substance and the medication. 
Social invitations decline once an alcoholic gets repeatedly drunk and creates ruckus at functions....  the employee is sidelined for promotions and loses his job over a drinking problem.
The family hides the addiction even from doctors resulting in progression of the illness and sure death.
The person is looked upon in disgust disdain and as a discard... hastening his journey to the grave.
Do we treat someone with any other illness like this – would we treat a family member or friend who is a diabetic or hypertensive like this? Or do we look at treatment options for them? Would we not help a family who has a member suffering from any of these illnesses with knowledge of doctors we know or Treatment facilities we are aware of?
Why this ostracism? Just as anyone with any illness does not ask for it, neither is addiction a disease that is asked for- the substance controls and consumes the person afflicted... if left untreated will be 100% fatal and result in Death.. like any other systemic disease.
As a society, let us wake up to the awareness of this disease and realize there is help available… let us arm ourselves with the knowledge of the same. Treatment that is seen to work the best is Residential, Non medical, Voluntary, using Counseling and alternative healing methods like Meditation ,Yoga etc.
We at AH facilitate this process to enable the individuals afflicted /affected by Addiction to alcohol/ drugs go beyond them and towards a fulfilling life!  We have doctors who are specialized in drug & alcohol rehabilitation.
Share the solution- the problem is known to all- awareness of the solution is what is required-  be socially responsible- someone somewhere might find help and You might be instrumental in saving Lives..  AH is one of the best alcohol addiction treatment centers.

PROHIBITION

-By Dr. Sujatha Nair
Mahatma Gandhi was the primary advocate of prohibition in India considering alcohol as a social evil. Prohibition exists in Gujarat, Nagaland; parts of Manipur; and Lakshadweep.
It is not the person who controls his drinks – it is the drink that controls and consumes the person.  
Gujarat
Let us take state Gujarat as a model for the results of prohibition.
Since 1958 Gujarat has a law in force that prohibits the manufacture, storage, sale and consumption of alcoholic beverages. The only Indian state with death penalty for makers and sellers of homemade liquor where fatalities are caused. And yet there is rampant Alcoholism prevalent there.
Smuggling and illicit liquor trade flourishes. 'Folder' is the local slang for the person who provides alcohol on demand. The Union Territory of Daman that is an hour away from Gujarat has a flourishing liquor trade thanks to the tipplers from there. Liquor is smuggled in from neighbouring States, manufacture and sale of spurious liquor still goes on and so do the related deaths, the last being of 148 people in 2009 indicating that the authorities are in cahoots with the bootleggers.
All the other states with prohibition allows production of local brews and also IMFL (Indian made foreign liquor)
Kerala
Kerala is planning to implement prohibition in a phased manner, by the next decade. The liquor business forms 22 per cent of the state’s revenue. As a first step to total prohibition, the government decided to close down 730 bars out of 752.  Increase in retail prices have never been a dissuading factor for drinkers.
Is alcoholism and Kerala meant for each other? There are queues since early morning outside liquor shops that resemble the lines outside a temple. Kerala has the highest per capita consumption of alcohol in the country. The drinking age has dropped from 19 years to 13.5 years. The per capita consumption is 20l/person amongst those who drink. Today there is not a celebration there that does not begin with popping of the proverbial cork. Children are watching a generation of parents coming home drunk or getting drunk at home or drinking in the day at home/outside and growing up to think that this is “normal.”

There have been numerous talk shows on the subject with people baying for shutting down bars in villages and towns to curb the menace of alcoholism. This only reflects the abject lack of awareness amongst the people and sad to say even the medical fraternity in Kerala regarding the actual nature of the disease of addiction and myths abound.

The primary aim of prohibition has been to curb alcoholism, and this has failed miserably. There is instead increased consumption of spurious liquor, local brews, perfumes, after shaves etc. Alternate addictions set in and rise which tend to affect the health of the addict, even further.

Banning alcohol will not result in an end to alcoholism

Awareness about the nature of addiction and primarily awareness regarding the solutions to go beyond it needs to be propagated in every village, town and city.

It is very essential to treat the Addiction in the person in a residential,++ non-medical facility, as left untreated addiction is fatal .Treatment of the family becomes as essential for co-dependency as consequently it destroys families. For the same purpose the government has now established Alcohol Rehabilitation Treatment Centres all over India. Indian government has come up with Drug Addiction Treatment Center as well.

True lasting change has to happen from within outwards...never only with a change in the external milieu.

Substance Abuse and Women

Across the centuries the status of women has improved from being treated as Adam’s rib or the weaker sex to receiving equal rights to being at par with men on all fronts. The woman of today is thus a Superwoman managing home and work with élan and going beyond all conditionings - except a very deep rooted conditioning of emotional dependency. This rarely leaves room for her to develop as an individual ; thus making her vulnerable to dependency and co-dependency.

There are growing economic instabilities due to which both spouses have to work or in the upper class the woman feels emotionally neglected by an over occupied spouse. In all instances the woman feels under appreciated.

Thus, despite financial and educational independence they turn out to be emotionally challenged.

 All these factors result in leaning towards addictions. The disadvantage in the case of women substance abusers is that they have an easier access to money and places of hiding the substance. Hence the abuse is detected after a longer period of time and still remains hidden many times due to fear of social stigma.

Physiological effects of Substance abuse on Women

Women are affected physically quicker and in a worse manner as compared to man owing to their shorter stature, metabolism and hormones.

Long-Term Consequences: Women experience negative physical consequences and complications from alcohol sooner and at lower levels of consumption than men. Evidence suggests that women progress significantly faster in developing dependence, organ damage, and diseases with much lower levels of alcohol/drug consumption. Women are more likely to die many years earlier from alcohol abuse and dependence.

For eg – cirrhosis of liver, Diabetes, Hypertension, cardiac conditions, malnutrition, painful or irregular menses, amenorrhoea [absence of menses] at times, various cancers,  fetal abnormalities, Alzheimer’s ,Dementia etc

The loss of inhibitions and rationality owing to the substance abuse makes women also more vulnerable sexually and to sexual abuse.

The very roles she plays- mother ,daughter, spouse, friend etc are all affected by her usage .

In the bargain, the woman is ridden by guilt, resentments and fears which isolate her from her own true self and her loved ones

 However the woman can be trained to access her inner potentials - to learn to love and esteem herself - make herself not just financially independent but also free herself emotionally and be her own person.

Treatment
For a woman to recover – she requires an intimate and therapeutic setting where her confidentiality is maintained and she can regain her dignity, independence and find fellowship within and around her. Women thus experience living a life away from substance in a conducive and loving environment.

We at AH provide such an environment.
It is a most beautiful experience to see a woman learn from her own experiences, realize her own inner potential and individuality to blossom into the human being she is meant to be without finding the need to go back to the Substance.