QUESTIONNAIRES TO IDENTIFY CHEMICAL DEPENDENCE AND CO DEPENDENCY

There are standard questionnaires by which one can identify the existence of an alcohol or drug problem that requires treatment.
The most common questionnaire for alcohol and drug use is the CAGE questionnaire
CAGE Questions
1. Have you ever felt you should cut down on your drinking?
2. Have people annoyed you by criticizing your drinking?
3. Have you ever felt bad or guilty about your drinking?
4. Have you ever had a drink first thing in the morning to steady your nerves or to get rid of a hangover (eye-opener)?
CAGE Questions Adapted to Include Drug Use (CAGE-AID)
1. Have you ever felt you ought to cut down on your drinking or drug use?
2. Have people annoyed you by criticizing you’re drinking or drug use?
3. Have you felt bad or guilty about your drinking or drug use?
4. Have you ever had a drink or used drugs first thing in the morning to steady your nerves or to get rid of a hangover (eye-opener)?
Scoring: Item responses on the CAGE questions are scored 0 for "no" and 1 for "yes" answers, with a higher score being an indication of alcohol problems. A total score of two or greater is considered clinically significant. However even one positive score indicates the presence of an alcohol / drug problem that requires treatment in the form of rehabilitation.

Likewise there are questionnaires to identify Co-dependency in a family member or close loved one of the person addicted to alcohol / drugs
1. Did you ever lose time from work due to your relationship with an addicted person?
2. Have your relationships ever made your life unhappy?
3. Have your relationships affected your reputation?
4. Have you ever felt remorse after manipulating a situation?
5. Did you ever control situations to get money to pay debts household bills or otherwise solve financial difficulties that belong to someone else?
6. Has your involvement in a relationship caused a decrease in your ambition or efficiency?
7. After a fight or disagreement, did you feel you must get even?
8. After winning an argument, did you have a strong urge to restate your point?
9. Did you often stay in a relationship until your last hope was gone?
10. Did you ever borrow money to finance another person's addiction or associated crisis?
11. Have you ever sold anything to finance another person's addiction or associated crisis?
12. Were you reluctant to purchase necessary items because it may cause a disagreement?
13. Did your relationships make you care less of the welfare of yourself and your family?
14. Did you ever stay in a degrading or dangerous situation longer than you planned?
15. Have you ever dragged old hurts into discussions about current items?
16. Have you ever committed, or considered committing, and illegal act to finance someone's addiction?
17. Did your relationships cause you to have difficulty in sleeping?
18. Do arguments, disappointments or frustrations create within you an urge to change someone else?
19. Did you ever have an idea that if loved ones would only see things your way, life would be much better?
20. Have you ever considered self-destruction as a result of your reactions or relationships?

Answering yes to five or more of these questions is an indication that codependency has become a problem in your life.
If you test positive for either of the above tests you would need to consult a substance abuse counselor who will guide you to the next course of action required to be taken. It can vary upon the situation. They may consult for alcohol rehabilitation treatment or rehab for drug or any other treatment that may work on you.
We at Anatta Humanversity Pvt.Ltd. facilitate the treatment of the dependent and co dependent in a loving, accepting, ambiance, being client specific and maintaining the highest level of confidentiality in our rehab centers in India. 

ACCEPTING HELP

The need to  “fit in” is an universal human trait - most youth do several things-dress alike keep up with the trends etc some of them being  drinking and smoking cigarettes- like a “rite of passage” and lo! It is an entry into the world of parties –being part of, etc.. the shy gangly adolescent turns into a sauve happening kid popular amongst the guys and girls alike.  The intake begins in a small manner as that is enough to give a high, loosen the tongue and the inhibitions. In the flush of youth, studies are managed and the drinks increase to 6-7-8 . from weekends to two or three times a week.
The increase is noted by friends, warnings are issued but ridiculed by the young man - “ be a man-drink like me !”  Is help accepted? Life is going great guns, the studies are done, the girls are there one or many .. more often one too many than one.  The new job is gotten, a fat pay packet to boot.  The alcohol flows, the money too flows generously “friends “ benefit.
Slowly the hangovers take over... waking up with heavy heads become a norm…  the drinks are tried to be controlled now, the hangover hidden with coffee and soon enough through a drink to get over the hangover as the body and mind is in shambles ... focus is lost.. meetings are missed, absenteeism sets in... one tries to “ cut down to two or three drinks” succeeds for a few days then one fight at the office or home front, the three becomes 10 in no time and without any inkling as to how it reached there... the intention had been just have the three drinks and pacify the girlfriend/wife [This is the compulsive nature of an addictive mind taking over]  After three all intentions get drowned in the bottle... the next morning one wakes up with absolutely no memory of what transpired the night before- a blackout . The blackout starts becoming frequent. [Is help accepted here?] The mind remains more befuddled...The thinking changes… It becomes more grandiose, emotions are exaggerated, mountains are made out of molehills- though alcohol s temporarily not there because it is untreated the mental habits do not change.  Everything triggers an emotional reaction either expressed or in expressed. Life revolves around planning to get the next drink or start drinking.  [The obsession takes over]
Friends start avoiding as Dr. Jekyll turns to Mr. Hyde post a few drinks.. Friendships are lost.. guilt and remorse sets in.. and to forget it , guess what- more drinks are drowned.. but does one forget? No- cause the drink only magnifies the hurt existent real or imagined. [is help accepted now]
Again the decision to stop drinks.. but in the next one day, one hour or next five minutes the man finds a glass in his hand and a half a bottle down. It is baffling! How did that happen? [it is a cunning baffling disease- and the time from a thought of a drink to an intense thought to craving to obsession and compulsive drinking can take a few seconds to minutes to hours or days ] Help accepted?
The family intervenes. The hands are unsteady the body tremors cannot hold a glass; yet the thought” I can handle it” The liver is fired – on the verge of cirrhosis on the hospital bed- and yet the thought “I can handle the bottle” the struggle goes on; the life revolves around controlling the drink and going back to “social drinking” of 2-3pegs, a futile illusionary dream! [ this is the denial of dependency] The family tries to control the drink- drink wine- drink at home- I will drink with you- you are taking advantage of us! Another futile illusionary dream! [ the denial of the co dependent] Is help accepted?  For, now it has reached the stage of Addiction – “first the man drinks the drink, then the drink drinks the drink, then the drink drinks the man. “
 The drinking that was fun at a point  and solution at times now has become a problem!
But one is unable to stop for long on one’s own... people around “society” at large think that the man is a drunk ..he can stop on his own but he is selfish and wants to enjoy life at the cost of his family. However, the person addicted drinks now to keep away pain- physical and psychological and there is no more “fun” in it. [ is help asked for and accepted?]He/she is sick and tired  of feeling sick and tired
 The family approaches psychiatrists or an experiential addiction counselor for help ... the person who is chemically dependent now meets the counselor. An experiential counselor is one who has lived a life of addiction to drugs or alcohol and has accepted treatment and gone beyond the need to use alcohol or drugs for a substantial length of time. The light is seen at the end of the tunnel... identification is established... he understands my story, as my story has been his story... and if he can do it then I too have hopes of reaching where he has reached today and he will guide me into doing the things he did to arrive at where he is.
Help is finally looked for in the right place and accepted. Thus it is seen that one cannot predict when a person can ask for and accept help.
This is half the battle won.
We at Anatta are here to help those who accept help and to enable those who resist to arrive at a decision to accept help. We have our rehabilitation centers scattered in most parts of India like rehabilitation Center in Pune, rehabilitation center in Nagpur and drugs and alcohol rehabilitation centers in Delhi. Come to us and we will help you see life in a new way without alcohol and drugs.

GOING BEYOND EMOTIONS

Man lives in his mind.
Most of his activity revolves around the mind. As a result the body has been neglected and the unity of mind body has been shaken. The result- stress, emotional angst etc... we color every experience with emotions , thus deluding us from reality.
Have you ever eaten something very delicious and wanted to hold on to that taste ? For that, if you stay hungry and do not brush your teeth the whole day..what do you think will happen? The next morning, you wake up hungry, stinking  and grumpy and the taste that one so wanted to hold on to is now only in the mind...  this is exactly what we do with our emotions .. Whether happy or sad, we tend to hold on to them till they raise a stink....
We find ourselves living in more than one mind at a time trying to think why another person behaved in a particular manner , what will people think  if I did this etc. ; living in one mind itself is tiring , imagine living in multiple minds- exhausting!
In addiction  , the addict is at an advantage because the problem is so in the face that he has to do something about it. With the rest of the world the proverbial carpet is ever present.
But do things actually get brushed under the carpet? The incidents will, but the emotions are held on to in a conscious or unconscious form either suppressed or repressed... which then colors all our responses to incidents in our lives.
Thus, we can conclude that it is our emotions that are behind every so called “ issue” in our lives. “Gurus” tell us go beyond emotions, detach ourselves from emotions, be in the present, renounce our relations, material things etc but can we “renounce” our minds? And HOW do we go beyond all our emotions?
Our mind never allows us to see reality as it is, for, it takes us to the past and the future [ both non -existent]  thus enabling us never to  be in the present. A story- two monks come across a woman waiting to cross a river. One of the monks volunteers to help and carries the woman across, lets her down and goes his way. The younger monk begins arguing for 3 hours about how could the monk touch a woman , it is forbidden in their sect and is a sin… the older monk quietly tells him,  I dropped off the woman 3 hours ago..I see my friend, that you are still carrying her... this, is what we do with all our emotions.
The ability of going beyond emotions is inherently present within each of us, we only have to become aware of it and live it.
A few methods we incorporate :
Writing
The writing is in a prescribed manner. We write all the incidents in our lives as they happened  , without embellishments or adornment  of philosophy and retrospective analysis. It is describing the incident as it happened. Then, to make it more interesting write down the emotions you felt at the time separately. Also add the emotions you feel now when writing the incident. If you sit with yourself for at least 45mins everyday and keep writing all the incidents in your life in this method ; slowly you will realize that you develop a detachment from the emotions one has held on to over the years.
Meditation
Regular practice of meditation releases suppressed and repressed emotions stored in our cellular memory and changes the structure of our brains, reducing the size of the areas that cause emotional fluctuations thereby changing the responses to stressors around us ; the areas of our brains that regulate compassion and empathy increases in size. Meditation keeps us in the present moment.
Yoga
Yoga balances the interiority of an individual ,keeping one in the present enabling an increase in awareness of our body and mind.
Being present
Extending this practice of being present to everything we do in life. While eating eat , while drinking water drink, while walking, walk.... cut out the multitasking.
Being present and doing all of the above to do so , eventually, helps us to deal with incidents in our lives without attaching emotions to them and seeing them in all their reality and we learn to truly “respond “ instead of “ reacting”.

We at Anatta enable this ability to go beyond emotions to surface and provide the tools to maintain it because we are one of the finest rehabilitation treatment centers in India.
Get speedy recovery from drug and alcohol addiction with the top drug rehab center as well as top alcohol rehab in India. We are only a phone call away.

MEDITATION

In life if we zoom in closely all crises are emotional crises...we do not see reality as it is but always tend to colour it with emotions that results in ”stress” or distress. In addiction too, once the person is in rehabilitation treatment centres and the substance is stopped and in the treatment process the real issues that crop up are all of emotional unmanageability.
We assume that over the years we have “dealt with” past injuries or incidents that have affected us. Then why does illness strike us? Why is it that we react untowardly to a situation that does not call for such a reaction? This is because the emotions that we thought we have dealt with have only been suppressed or worse, repressed for they have been stored in the cells of our body. Cellular memory has been discovered by science today.
Today it has been proved that the ancient eastern sciences of meditation enable one to attain a balance which is the result of actual structural and biochemical changes that take place in the brain due to meditative practices proved by the advent of advanced CT and functional MRI machines and other technical devices..
Meditation techniques are a bridge towards actual meditation. They are very scientific and developed over centuries by those who have attained.
They have been developed based on pure experience and observations of being aware and taking us beyond emotions.
Effects of Suppression of Emotions
Once any emotion is triggered, if the flow is impeded by suppression of the same, the energy that has resulted in the release of so many biochemical actions on the body and brain is unable to retract these changes. As a result, the chemicals bring about a change at the cellular level and can come up eventually with physical ailments like hypertension, migraines and even cancer in the long run. Psychological ailments like anxiety neuroses, depression, personality disorders might result. In the current scenario of society, meditation might not be directly possible due to these various suppressions and repressions that block the flow of natural energy. Hence the process of catharsis is very essential.
Active meditations enable this catharsis to take place in a guided manner making way for an experience of a meditative state.
What is meditation? Meditation is not sitting with closed “concentrating” on the breath or something. Let us try an experiment—close your eyes and be “aware” of the breathing that is happening in your body.. it is an involuntary process..be aware of it through the rise and fall of your abdomen for a few moments..open your eyes.. Were there any thoughts in your mind for that time? No? You just experienced a state of meditation. This state of ‘no mind’ is the state of meditation .Regular practice of different techniques takes us to that state and eventually we realise that we take life moment to moment and respond instead of reacting.
Current Scientific Studies on Meditation
Researchers at Harvard, Yale, and the Massachusetts Institute of Technology have found the first evidence that meditation can alter the physical structure of our brains. Brain scans they conducted reveal that in experienced meditators increased thickness in parts of the brain that deal with attention and processing sensory input & associated with memory, sense of self, empathy and stress is seen. Likewise, the area of the brain that is responsible for emotional reactions-the amygdala is seen to reduce in size. Thus, though the stressors in the environment remain the same the responses to them change. Thus meditation is also very psychotherapeutic!

Conclusion
Science is still in a fledgling stage to discover the actual Meditative state. However, the individual experience of the state is the only proof required. But for a person with addiction, Anatta Humanversity being a drug & alcohol rehabilitation center will get a person out of the addiction in the best possible manner. Moreover, this alcohol rehab center has branches all over India.

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.