Recover from eating disorders by Nancy Low

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Recover CONTENTS • Introduction • Intervention • Eating Disorder • Financial Resources • Process Addiction • Other Resources

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“ONE EQUAL TEMPER OF HEROIC HEARTS MADE WEAK BY TIME AND FATE BUT STRONG IN WILL TO STRIVE, TO SEEK, TO FIND AND NOT TO YIELD.” Alfred Lord Tennyson Ulyess

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Recover

Resource Directory For Eating Disorders Oct. 2011

WISE PROMISE

Published by:

NANCY LOW

Editor:

JES LOW

Art Director:

MATT LOW

Web Master:

Special thanks to: i•promise foundation, Kendra Bernal

INTRODUCTION THE

purpose of this directory is to provide the families and loved ones of those who suffer from the chaos of addictive behaviors with resources they may not have been able to find in one place before. The successful treatment of addictions is multi-dimensional. Each aspect is certainly influenced by what type of addiction is being treated, the access to resources and of course the willingness of the individual to change bringing all components of treatment into alignment is challenging at best and a family often does not have the understanding, experience or wisdom to make effective choices as they are typically overwhelmed, under -funded and tired of the cycles that are destroying the one they love. Often providers don’t work together, wasting precious time expounding their own virtues at the expense of another provider, not interesting in working together for the benefit of the individual who is suffering. Not all treatment is alike, not all therapists or doctors practice the same recovery philosophy. It is

important for families or the decision maker to have the courage to ask hard questions, to visit a facility if possible, compare services, compare costs when seeing treatment. Recovery is not guaranteed, recovery is not a short journey, recovery can be a lifetime path but we believe people can be healed when the 4 underlying causes of addictive behavior are addressed in treatment or therapy.

NO part of this publication may be photocopied, reproduced or transmitted, without written permission of the publisher.

Printed in the United States.

• The inability to cope with current conditions and circumstances. • The resistance to address unresolved issues/events from the past. • Clinging to values and beliefs that are inconsistent with what is true. • Chemical imbalance

This directory is dedicated to all those who love addicts. Never, never, never give up I acknowledge all those who supported us and encouraged us to continue this project. To my family – you are my everything.

ise Promise E d u c a t i o n

I n i t i a t i v e

961 West Center Street Orem Utah 84058 (801)472-9780 ipromisefoundation.org

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INTERVENTION

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MODELS OF INTERVENTION MOST

people are familiar now with the A&E television series called Intervention. The shows depicts families suffering from the chaos of a loved one’s addiction and the Interventionist is brought in. There are several types of intervention models that are practiced. It is proper for the family to assess what their core family values are and how that will support them when it comes to choosing an Interventionist. An Interventionist specializes in acting as an intermediary with the family and the loved one who is struggling with an addiction, typically drugs and alcohol. But today, interventions are initiated for eating disorders, porn addictions, sex addiction, gambling, other traumas and mental health issues as well as drugs and alcohol abuse. Families are ready for an intervention when the crisis reaches a tipping point and it is too difficult to manage alone or by themselves. Most Interventionists will work with the family affected by the problem to assist them in determining the right treatment approach. Education is an important element in making decisions about treatment, detox, therapy and after care as it applies to addiction issues. Making a decision about an intervention can be difficult – everyone’s situation is going to be different. Individuals in crisis can range form the Doctor addicted to drugs, the Lawyer who is an alcoholic, the teenager with an eating disorder, the adult son addicted to hard drugs, the Mom who is addicted to pain meds, the gambler, the husband stuck on porn…etc. And each individual situation requires an individual approach to intervention.

DON’T BE AFRAID TO ASK QUESTIONS. Prices vary from $ 1,200 t0 $5,000 or more depending on where you live, how far the interventionists may have to travel and how many days are involved. It is not typically covered by any insurance. If expense is an issue – a family can do an intervention themselves. We are listing here a description of the most widely used methods JOHNSON MODEL: This model is an approach with the idea in mind that the participants are ready to set a bottom line if the addict does not agree to get treatment. Many times the family can raise the bottom for an addict when they see severe consequences with the direction the addict is going. The goal is to intervene before the worst happens, which is often death. This approach is compassionate yet confrontive. Many times a perceived crisis in the addicts life can compel them into accepting treatment. STORTI MODEL – THE HONORABLE APPROACH http://www.stortimodel.com/ The Storti Model of intervention personifies the motivational, inspirational and spiritual method of working with the addictive person. It encompasses the family and brings about a moment in one’s life where the solution (treatment) is offered as a gift. The Storti Model brings about a group of people who honor the patient on the day of the intervention, presenting treatment as a gift, new life and rebirth.

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FAMILY MODEL The Invitational Model of Intervention, also known as the Systemic Family Intervention Model, was developed by Ed Speare and Wayne Raiter. Rather than focusing solely on the person with a substance abuse problem, the Invitational Model addresses the entire family together, with the addicted individual invited to attend as well. This model is based on the idea that if the system changes, every individual within the system will also change, including the addict (systems theory). It is designed to be a non-confrontational and nonjudgmental form of intervention. http://www.addiction-intervention.com/addictionintervention/intervention-style/invitational-model-of-intervention/ ARISE: This model usually involves family, friends and work associates that re-appropriate in a unified process that is directed by the Interventionist, but includes all participants including the addict experiencing the crisis issues to stay focused on getting the right level of help that is indicated. SYSTEMIC FAMILY APPROACH : This model is an alternative to traditional confrontation. The family, friends and colleagues become educated and form a team to work with the person in trouble. Together they address the issues in a loving and respectful way without ultimatums and confrontation. This approach can be a very successful system when the participants are committed to a time parameter. www.associationofinterventionspecialists.org

WISE MODEL : At Wise Intervention - each individual suffering from their addiction - needs a "recovery" approach suitable to them and their family. We open the door to the alternative view that your addiction can be cured, can be overcome, you can change how you think, you can have the life you dream of . We believe that often traditional approaches operate from a perspective of shame and hostage taking. As a noble daughter or son of God - you have inherent abilities and capabilities to master the flesh. You are not powerless. Often the biggest obstacle is helping the family overcome their feelings and actions of contempt to encircle the addict/alcoholic in the family unit again. The Wise Model of intervention differs from traditional methods by uniting with the family to creating a culture of healing and high performance for each member within the circle of influence â&#x20AC;&#x201C; not just the addict. We believe it is effective to have a mentor - mediator to meet with the family and the addict to initiate a plan of change and we take that role. If a treatment program is required - we act as a referral agent not as a recruiter. We help the family decide which plan would fit their values and belief system and will also help facilitate a plan that can be administered by the family instead of an inpatient program. intervention@wcgcreative.com for more information.

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INTERVENTION DESCRIPTION AND 10 QUALIFYING QUESTIONS

ADDICTION

affects millions of American families, businesses and communities everyday. This epidemic is not diminishing nor is it relinquishing its hold on our everyday life. So what do we do? How do we treat addiction and free the American people from this horrific disease? Many of us are aware of drug and alcohol treatment programs. Residential or inpatient, outpatient, addiction counseling, medication and community outreach programs are part of a wide variety of treatment modalities available for treating addiction. Although some of the treatment modalities are more effective and successful than others when implemented for addiction help. Not everyone is willing to accept help for their addiction to drugs or alcohol. There are those who are in denial of their addiction, or opposed to seeking treatment, or have the attitude of not caring about their future. What can we do for them? What is available for the millions of families, friends and loved ones who have someone in this particular population? There are two options for dealing with the defiant addicts in the population; 1) do an intervention or 2) do what we have already been doing and hope something changes before something tragic happens. Only one of these two options has the highest opportunity to a happy and successful ending. That option is to do an intervention on the addicted individual. Many of us may not fully comprehend an intervention or how they work and if they even work at all. Surprisingly, interventions have an 85% or higher success rate. So, what is an intervention? An intervention is an orchestrated, family attempt to get their loved one into treatment for a harmful addiction. There are typ-

by Travis Gardner

ical questions about the process: How does an intervention work? What does an interventionist do that can help? The intervention process is a very delicate and strategic approach that is best executed by a professional interventionist. Addiction interventionists teach families how to confront their loved onesĂ addiction with full intention that the intervention ends with the addict entering treatment. The Interventionist does this by educating the family on what causes, perpetuates and treats addiction. They will teach every intervention team member what works and does not work regarding verbally, physically, and emotionally confronting the one they love about their problem. Most Interventionists will have a list of a multitude of treatment centers across the country from which the family can chose, based on geographical suitability and financial resources, as well as feasibility for transporting the candidate to treatment.. Verification of insurance benefits will be tracked and implemented into the process used to choose the best facility for the addict by the interventionist when insurance is available. Interventionists will also teach the family how to stop enabling the addict and being co-dependent. They will work with the family members on maintaining their emotional stability by providing references, tools and introducing new behaviors and beliefs about dealing with addiction. The newly found behaviors, beliefs and agreements that the family introduces into their life will ultimately free them from the grips of addiction, and allow for maximum family support for the addict. The job of an interventionist is not just getting the loved one into treatment, their job is to fully secure every opportunity for them to accept treatment and to allow the family to receive the freedom from the addictive behavior and destruction. The

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Interventionist helps the family develop a systematic and structured letter from each team member to the addict which ensures proper communication. Recognition of avenues towards identifying acceptance, proper intervention procedures and lines of communication will be rehearsed and practiced prior to the intervention. If the addicted individual objects to accepting help, the interventionist will have prepared the team with methods for how to overcome those objections which leave the addicted individual no avenues of escaping the opportunity for treatment. The preparation for the intervention may take up to two days. The length of the intervention is determined by many variables, and can take a minimum of an hour, or up to a couple of hours to facilitate. An intervention is a process! The intervention is not an event! Therefore, when choosing a drug or alcohol Interventionist there should be specific qualifications to look for when choosing the professional you will use, in order to maximize the effectiveness of the process. In the selection process, when researching intervention companies and private entities, you must ask ten questions before you choose the professional who will facilitate your family intervention. 1. Are they a Board Certified Interventionist or Nationally Certified? They should be board certified or nationally certified as an interventionist. Therapists, Medical Doctors and counselors are not trained in interventions and this lack of specialized training will minimize the chance of success. 2. Do they have documentation of their credentials? Have the documentations sent to you via fax, mail or email to ensure creditability. 3. Are they in recovery from drugs or alcohol themselves? The experience gained by first hand knowledge of addiction can not be taught in school. You must hire someone who is in recovery themselves so they may relate to the intervention candidate.

4. How many interventions have they facilitated? Look for a minimum of 100 interventions performed with a success rate of 85% or better. 5. Do they have references from families or clients that they have worked with? Ask them for permission to speak to a family member or client that they have worked with. 6. Do they offer any type of guarantee for the services they provide? Some Interventionists will work with the family until the individual enters into a program, no matter how long it may take. 7.Does their intervention process include locating treatment, family support and ensuring the safety of the candidate? You want to make sure that treatment options, family and client support and safety is provided by the Interventionist. 8. Do they offer the family free lifetime support and consultation following the intervention? Addiction recovery is a life-long process that may require the opportunity for follow-up and consulting to assist in their recovery success and the familiesĂ emotional stability by the Interventionist. 9. Do they use ultimatums or threats to produce a successful intervention? Threats and ultimatums are not usually successful tools to use with addicts. Find out if they use ultimatums as a tool for gaining acceptance or do they offer the addict a gift and teach the family how to protect themselves from the destructive behavior of the active addict. 10. Why and how did they choose this profession? This will give you the opportunity to use your intuition and emotional feelers to determine if this individual is compatible with your values morally and spiritually in such a way that they are connected to your family system and can facilitate a family intervention.

Founder-Travis Gardner B.C.I II, C.N.D.A.I, C.A.T II http://www.pathwayinterventions.com 1-866-276-5430

ITâ&#x20AC;&#x2122;S TIME TO GET YOUR FAMILY BACK TOGETHER Are you considering doing an Addiction Intervention on your loved one struggling with drug or alcohol abuse? Have you tried everything possible to help your loved one struggling with drug or alcohol addiction and it is just not working? Have you given threats and they continue to use? Have you finally realized what enabling has been doing? Have you watched your loved one destroy their life and the life of those around them? Are you to the point that you do not know what else to do for them? It is now time to do a intervention!

PATHWAY

INTERVENTIONS INTER VENTIONS FREE Drug Intervention & Alcohol Intervention Consultation For Addiction or Abuse Help Give Us A Call At

1-866-276-5430

pathwayinterventions.com

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INTERVENTIONISTS Southworth Associates John Southworth 800-386-1695 www.southworthassociates.net john@southworthassociates.net

I Promise Foundation 801-472-9780 Local Utah team of experts 663 N. 1890 W. Provo UT ipromisefoundation.org Utah County

Ed Storti Intervention 310-548-3873 www.stortimodel.com edstorti@aol.com

Scottsdale Intervention Karen Zazzerra karen@scottsdaleintervention.com 602-696-5532

Bret Hiner Expert Interventions 801-631-7122 Murray, Utah www.expertinterventions.com bret@expertinterventions.com

Tom McCullom Counseling and Intervention tom@atmcounseling.com Sandy, Utah 801-562-0806

Dallas Taylor Intervention 866-613-stop www.taylorinterventions.com

Judith Landau National Association of Intervention 877-229-5462 jlandau@linkinghumansystems.

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EATING DISORDERS

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IS AN EATING DISORDER AN ADDICTION?

MANY

in the medical community have begun to classify eating disorders as an addiction. It certainly fits the criteria: first, of being something that the person begins doing with no thought of the destructive implications, fully believing at the time that he has complete control over what he is doing; second, failing to recognize that a problem actually exists; and third, the psychological factors which underscore the problem. The inability to see that he has no control over it whatsoever is the primary factor that underscores an eating disorder as being an addiction. This is the case whether the individual is a teenaged girl who is insisting that allowing herself no food is â&#x20AC;&#x153;nothing but normal dieting,â&#x20AC;? or whether it is a person who stuffs in an amount of food at one sitting that is appropriate for three people instead of one. It can be a very helpless feeling for the observer, because there is very little that one can do on a reasonable basis to be of help. Source: http://www.theeatingdisordersfacts.com/eating-disorder-andaddiction.html QUESTION: Is there any connection between eating disorders, alcoholism, smoking and drug addiction? Are the causes of anorexia, bulimia and binge eating the same as the causes for alcoholism, smoking and other addictions? ANSWER: Research on eating disorders has shown that there are similarities between many cases of eating disorders and addictive conditions such as alcoholism and drug addiction. The human brain has special reward centres and these are normally activated when a person feels well, takes care of the body, behaves sensibly, is praised, is in love, exercises, etc.

It is also possible to stimulate these reward centers by artificial means. Drugs of all kinds forbidden and permitted, produce chemical stimulation which is an important part of the cause of addiction. Stimulation also blocks unpleasant feelings and therefore those with eating disorders, as well as those with other addictive disorders, may use

them to block unbearable feelings. Normal people get their stimulation of the reward center by doing good things. They are stimulated by exercise because it is good for the body to get exercise. They are stimulated by eating, because it is good for the body to get nourishment. They are stimulated by being in love, because it is good for

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the survival of the human race that people mate. They are stimulated when they have achieved something or when they get appraisal because it is good that people do constructive things. However, if the reward centre is stimulated by drugs, alcohol or abuse of food, they cease to function in the way they should. Abuse is a short cut to false happiness, a happiness which doesn't come from doing something good. Incorrect usage of the reward centres is especially common with people who have a personality requiring a lot of reward effects in order for them to feel well, and also have worry and stress which can be reduced by drugs. There is accordingly a common factor with many types of addiction: • Alcoholism and drug disorders • Eating disorders • Compulsive sex dependence • Compulsive gambling • Compulsive exercising • Self-injury and anorexia nervosa (even body injury can stimulate the reward centre in order to protect the body from pain). This means that much of what is known about the treatment of alcoholism and drug addiction can be used for eating disorders. The patient's own ego must be strengthened and taught to refuse the kind of eating pattern which tempts with quick artificial solutions.

A similarity between eating disorders and drug addiction is that the addiction is compulsively developed into an even stronger form regardless of the effect on the patient's health. Despite serious medical complications, it is difficult for addicts to give up their addiction. More. Starvation in anorexia reduces the activity of the hormone Serotonin and this in turn reduces anxiety in a patient with an overactive nervous system. More. Patients with anorexia are, less often than others, drug addicts and alcoholics while those with other eating disorders more often are so. Those anorectics who alternate between eating attacks and starvation are more like bulimics. Research shows, for example, that personality types that more often feel stress and anxiety, need more stimulation in order to feel well. More. Research also shows that those with eating disorders often have excessively low values for dopamine and CSF-5-HIAA as well as Serotonin which causes them to feel more stressed than others (More) and that many drug addicts began with compulsive eating before going over to drugs and furthermore that certain hereditary characteristics increase the risk of eating disorders and drug addiction. However, everybody with these hereditary characteristics does not become an addict as there are other ways of managing the problem, e.g., medicine which stabilises the concentration of Serotonin in the brain may help (in combination with other treatment) those who have eating disorders. Gunborg Palme Oct. 26 2008

Affordable & Effective Westwind estwind eating disorder recovery reco ery recover y centre is unlike unlike any any other program you may have considered. For one thing, we are collaborative collaborative collaborativ e - we we work workk on goals with you, wor you, rather ather than insist on compliance to a set of rules. rules ules. Our small facility facility for for women women allows allows us to commit to providing providing effective effective effectiv e daily individual treatment with highly qualified staff to meet your our specific needs. needs We e ensure that you you are a full partner par tner in your your treatment planning, after all... this is YOUR OUR recovery recover reco eryy !

Westwind eating disorder recovery centre 1-888-353-3372 | westwind.mb.ca

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responsibility for your own recovery. By the end of your stay you should be shopping for your own food and preparing your own meals, as well as monitoring your own exercise. All of this is important in preparing you to return to your life.

HAVING

recovered myself, I know the pain and courage involved in accepting and then battling an eating disorder. Making the decision to enter a treatment program is a difficult step. Many factors have to be considered by you and those concerned with your well-being. I believe that Monte Nido's approach to eating disorder treatment is what you, and others like you, have been waiting for. In order to come to a Monte Nido facility, you do not have to be ready to give up your eating or exercise disorder. We consider it our job to help you get ready to do that. We do not expect defined goals or even a clear commitment that you want to get better. Instead, we are prepared to help you define those goals and develop commitment. Working with our staff, many of whom are recovered themselves, you will learn that you can conduct your life free of your disorder, but you will ultimately have the power as to whether or not you choose to do so. Monte Nido has successfully helped many others like you gain insight into the destructive behaviors and underlying emotional issues that interfere with being a healthy successful self. We give you the tools to restore your body and mind to a natural, healthy functioning state with our therapeutic protocols and using both allopathic and naturopathic treatments. We believe you can be fully recovered, where food, weight and exercise are no longer used in self-destructive ways and where what you weigh is not more important than who you are. We are committed to helping you reach this goal. Monte Nido's program for eating disorders and exercise addiction treatment are unique in many ways. Monte Nido’s Natural Settings All of the Monte Nido residential programs are homes located in beautiful serene settings, which promote tranquility and connection to nature. Our locations significantly contribute to providing a healing environment. Monte Nido’s Intimate Program All Monte Nido and Affiliates residential programs are very small, intimate facilities for women only suffering from eating disorders &/or exercise addiction. The original Monte Nido in Malibu Canyon only takes six (6) clients at a time and the other two facilities only take up to 11 residents. Because each program only accepts a small number of clients, it allows for highly individualized treatment, which is crucial for optimal growth and long-term recovery from eating disorders. The Monte Nido Level System Because we are small and have a family-like environment, our unique level system allows you to gain increasing freedom and

Recovered Staff A large percentage of our staff have recovered from their own eating disorder. This offers a unique situation where you have the opportunity to experience and work with numerous trained professionals who are also role models of personal recovery. The Monte Nido Fitness Program Our fitness and exercise component is varied and comprehensive including activities for both body and mind. We combine cardio workouts with weight training and yoga for a well-rounded approach. We also want you to be involved in activities that are geared more for fun than just fitness. With this in mind we provide hiking, beach walks, swimming, dance movement and various group activities. Healing for the Soul If you have an eating disorder you are, on some level, living a superficial life. This is not to say your life lacks meaning, but rather you have lost track of it’s true meaning. Whether it is a number on the scale, a flatter stomach, or some other obsession with food or your body that has caught your attention and stolen your energy, you have lost track of what is truly important. Even if you reach a desired number on the scale, the meaningful problems in life persist: “Am I loveable?” “Do I feel fulfilled?" “Does my life have meaning?” As long as you are striving to achieve love and fulfillment through the pursuit of thinness or the comfort of food, your behaviors may have meaning and purpose temporarily, but they will keep you in a constant state of striving, misery and unhappiness. With an eating disorder you fall into the illusion that your worth is tied to things of the “ego” i.e., your looks or your ability to control food or your body. Our goal is to help you tie your worth to your innate value as a human being, i.e., your “soul.” We help you work not only on what you are recovering from but what you are recovering to. Our treatment goes beyond eradicating your symptoms to finding deeper meaning and purpose in your life. Oftentimes, finding meaning and purpose involves embarking on a new career, beginning a new hobby, or otherwise identifying an endeavor that brings you passion. Whether it is rock-climbing, painting, working with animals, or becoming a schoolteacher, finding something that gives you a sense of purpose is an important aspect to getting and staying well. But we also help you to discover or reconnect on a more spiritual level with meaning and purpose; moving beyond your symptoms to reconnection with your own and the world’s sacredness; reconnection with your soul. For more information about our programs, please feel free to visit us online at or call us at 310.457.9958. Carolyn Costin MED, LMFT, CEDS Executive Director Monte Nido & Affiliates www.montenido.com

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ABOUT MONTE NIDO The atmosphere at Monte Nido and Affiliates, is professional and structured, but it is also warm, friendly, and family-like. We use highly dedicated staff, many of who are recovered themselves, thus serving as excellent role models. Situated in tranquil home-like settings, surrounded by nature, the residential programs offer an environment to calm the system, attend to mindfulness practices and connect to nature. Our open kitchens and organic gardens help clients regain a nurturing relationship to food. With only 6 – 11 clients at one given time, Monte Nido and Affiliates offers highly individualized and intensive treatment by a multi-disciplinary team approach including an Attending Physician, Psychiatrist, Dietician, Clinical and Program Director and Primary Therapist. Under the direction of Carolyn Costin, recovered herself, and having treated eating disorders for over the past 30 years, Monte Nido and Affiliates offers several levels of care including residential and transitional living, to day programs and intensive outpatient services. The philosophy and environment at Monte Nido and Affiliates inspires people to commit to overcoming obstacles that are interfering with the quality of their lives and helps promote living the authentic life they were meant to live, away from their eating disorder symptoms. Monte Nido and Affiliates is contracted with most major healthcare insurance providers. ABOUT OUR FOUNDER AND EXECUTIVE DIRECTOR, CAROLYN COSTIN, MED, LMFT, CEDS Carolyn Costin is the Founder and Executive Director of Monte Nido and Affiliates. As Carolyn puts it, "Monte Nido offers treatment settings I would have liked to attend when I was suffering from my own eating disorder. I wanted a beautiful environment and a loving, empathic staff, who would know when to challenge and when to nurture." Recovered

herself, Carolyn has been treating eating disorders since 1978. Previously a high school teacher and counselor, Carolyn left her first career to devote herself fully to the prevention and treatment of eating disorders. While maintaining her outpatient services at The Eating Disorder Center of California and her private practice, Carolyn developed, implemented and served as the director of 4 inpatient and 2 residential eating disorder programs. During this time, Carolyn dreamed of opening her own healing center, in a home-like setting, that would provide a more holistic and realistic approach to recovery. When Carolyn came across an estate in a beautiful wooded area of Malibu Canyon, she knew she had found the place to have her own facility. In March of 1996, Carolyn became a pioneer in the treatment of eating disorders, opening the doors to a unique, six-bed residential program in Malibu, CA for women suffering from eating disorders and exercise addiction. She named it after the local neighborhood, "Monte Nido", which meant "Mountain Nest" to the Indians who once inhabited the area. Due to the success of Monte Nido, Carolyn expanded and opened the affiliate residential programs RainRock, which sits on the Mackenzie River outside of Eugene, OR and Monte Nido Vista in Agoura Hills, CA. She continues to educate and train professionals on the treatment and prevention of eating disorders both nationally and internationally. Carolyn is also the author of four books (and a fifth coming out in the Summer of 2011), which are popular with both professionals and the lay public: • Your Dieting Daughter • The Eating Disorder Source Book, 3rd edition • 100 Questions and Answers about Eating Disorders (2007) • Anorexia and Bulimia, A Nutritional Approach (Co-author Alexander Schauss)

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BREAKING THE CYCLE OF SHAME THE

psychological foundation of addictive behavior is shame. The definition of shame is feeling badly about who I am. The feeling-tone of shame causes people to hide, not to want to be seen, and to lose hope. This feeling tone supports external behaviors such as lying or avoiding certain situations and people. We use mindaltering chemicals to suppress these feelings and thoughts. Shame supports internal actions or thoughts such as “I am not ____”, “I am hopeless”, “I am bad or immoral”, or “I don’t deserve”. When human beings feel shame they are suffering. Our egos or identities are designed to alleviate suffering through the application of coping strategies and defense mechanisms. These strategies and mechanisms are cogni-

tive processes that support us to think differently, and thinking differently supports us to feel differently. A few of these cognitive processes are minimization (“It’s not that bad”), intellectualization (“I can figure this out”, or “I can control this or change this”), and rationalizations (“I only do this or feel this way because of ______”). The use of these cognitive processes reduces our suffering if applied appropriately and supports mental health. The “use” of mind altering substances is initially an attempt to cope or defend. The “abuse” of mind altering substances is the overuse or misuse of a coping strategy and defense mechanism and this leads to disturbed mental health. Why is it that 10-15% of our population move from

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use to abuse or addiction? Why is it that some use and also abuse for a period of time and then return to use but never move into addiction? These are both good questions that are being asked by the professionals and researchers in the field today. Vernon Johnson, in his book “I’ll Quit Tomorrow”, talks about the cycle of shame. This cycle paired with more recent research on changes in the brain’s pleasure and pain centers, (specifically the prefrontal cortex and its ability to inhibit impulse thoughts), is what I believe to be the very definition of addiction. Here is the cycle: Phase 1 – I use mind altering chemicals to cope by either enhancing my pleasure or decreasing my suffering. (i.e., “to really have fun” or to “get my peers off my back and fit in”). Phase 2 – This phase occurs due to one or both of two reasons. First, I was born with or inherited a genetic predisposition for addiction (an imbalance in my chemistry that runs in my family), or second, I have been using too much mind altering chemicals for too long and the mind altering chemicals have altered my chemistry. Therefore, I lose my ability to say no to myself, to put on the breaks, and to inhibit my impulses. As a result, I begin to inconsistently lose control over the amount I intend to use and/or my behaviors when I use. I begin to go against my values and my morals. Initially when the loss of control begins, I and those around me usually blame the loss of control on something other than using. This is because sometimes I use and I don’t lose control and then other times I use and I do. This inconsistency in the early stage of this phase is because my body’s constitution can still offset the effects of the mind altering chemicals on some occasions and not on others. When my constitution is weaker I lose control more readily or the drugs have a greater and more devastating effect on my brain’s ability to inhibit its impulses. Phase 3 – After periods of loss of control and going against my values and morals I make a promise to myself to “never do that again”. The problem with this promise is it is not a promise to stop using; it’s a promise to not lose control. This is a promise that is based in ignorance of what the mind altering chemicals are doing to my brain and its ability to inhibit impulses (Phase2). Phase 4 – Occurs after I have made the promise to myself to not lose control and I do. Feelings of guilt begin to transform into feeling shame. Guilt is feeling badly about my actions. Guilt supports me to show up and act in ways that serve me. Shame is feeling badly about who I am. Shame supports me to hide and to feel less than. Now we have come full circle, my using and the consequences of that using causes me to use more to reduce the suffering felt as a result of the consequences and shame.

The more I use the more loss of control and shame I experience, so the more I use in an attempt to reduce my suffering. The first step in breaking this cycle of shame is that I must stop using. Then I must find alternative strategies for coping that do not alter my brain’s ability to inhibit impulses. I must also find people in the world that do not shame me, people that understand what I have been through, people that can "speak my knowing," and guide me in directions that serve me. Lynda Steele, LCSW Lynda has been working in the field of addictive disease since 1981. She began designing and implementing addiction programs in the mid 1980’s, and has designed clinical programs for several of the leading addictive disease residential treatment programs in the nation. Since the early 1990’s she has been a partner in The Center For Transpersonal Therapy in Salt Lake City, UT where she has a private practice specializing in treating individuals, couples and families suffering from the disease of addiction. She also serves on the Board of Directors and is the Directorof Program Services for Project Recovery, Inc., a non-profit organization that provides residential, sober living for adult men and women. 801-596-0147

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SEE YOURSELF IN A WHOLE NEW LIGHT

EATING

disorders are complicated illnesses, and they require advanced, sophisticated treatment. At Center for Change we treat adolescent and adult women struggling with eating disorders, and we provide a multifaceted, interdisciplinary approach to treating the whole person. We believe that everyone has the ability for a complete and full recovery. Eating disorders are complex. They are often accompanied by related health and psychological concerns such as trauma, addiction, anxiety, depression, malnutrition, relationship problems, and more. At Center for Change, we have the ability to diagnose and treat those concerns, and concurrent illnesses,

helping women fully recover from the devastating effects of their illness and live healthier, more balanced lives. Our staff are carefully selected, not just for their expertise in treating the symptoms and underlying causes of eating disorders, but also for their compassion and willingness to extend themselves in behalf of our clients. Eating disorders, and associated illnesses, cause pain, fear and disruption in the lives of far too many young women. Often chronic, painful and severe anorexia, bulimia, compulsive eating and binge eating take their toll on individuals and families. At Center for Change, we have been nurturing very real hope to our clients since 1994.

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Our active yet caring approach to treatment includes acute inpatient care, long-term residential care, day & evening programs, and outpatient services. We employ a specialized, multidisciplinary approach that helps women establish regular patterns of eating while offering constant encouragement of healthy exercise, body-image improvement and a return to a full, happy life. We utilize dietary and nutritional therapies that help women develop an understanding of an intuitive eating approach that will continue to help them in their long-term recovery. We empower clients with the commitment and the tools they need to reclaim their lives. Throughout our programs clients receive individual, family and group therapy, individual nutritional counseling, medical care and monitoring, medication management, and a variety of experiential therapies. Individualized, compassionate care is offered by our experienced team of physicians, psychiatrists, psychologists, therapists, dietitians, nurses, care technicians and other professionals.

â&#x20AC;&#x153;Throughout each stage of recovery, two things remain constant: our unwavering compassion and our complete conviction that there is hope.â&#x20AC;? Cascade Mountain High School is our Northwest Accredited academic program located in-house with curriculum taught by certified teachers. Our outstanding academic program also includes collegiate support, adult education, and life-skills training. Throughout each stage of recovery, two things remain constant: our unwavering compassion and our complete conviction that there is hope. Center for Change was established in 1994 by a team, including psychologists and a physician, who have worked together since 1989. The founders have been treating eating disorders for more than 25 years. We offer the most comprehensive therapy and treatment program available, focusing on healing the whole person â&#x20AC;&#x201C; mind, body, and spirit. We work to free those suffering

from the pain and loneliness that have overcome their lives. Center for Change is located in Orem, Utah and offers a full continuum of care with inpatient, residential treatment, day & evening programs, and outpatient services. In the mountains of Utah, hope is real. The prospect of a life filled with health, peace and fulfilling relationships is real. Often, those who come to us tell us that the Center has given them their lives back. They experience freedom from the darkness, pain and isolation that only individuals stricken with eating disorders can know. They come to see themselves in a whole new light. For more information, contact Center for Change toll-free at 888-224-8250, find us on Facebook or visit our website www.centerforchange.com.

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FACTS ABOUT DISORDERED EATING The estimates cited by National Eating Disorder Association are that more than 8 million Americans suffer with these behaviors (men and women) â&#x20AC;&#x201C; perhaps as many as 10 million. One in 200 American women suffer from Anorexia. Two in 100 American women suffer from Bulimia. An estimated 10-15% of people with Anorexia and Bulimia are men. Eating Disorders have the highest death rate of any mental illness. 5-10% of aneroxics die within 10 years after contracting the disease. 18-20% will die after 20 years.

About 80% of females who have sought treatment leave treatment early and do not get the intensive care they need to recover. The costs for treatment range between $500 to $2,800 a day. The average cost of inpatient care is $ 30,000 a month. The mortality rate for females with anorexia nervosa between 15-24 years old is 12 times higher than any other cause of death. The estimated need for intensive treatment is a stay of 3 to 6 months residential. 50% of girls between 11 and 13 see themselves as overweight. 61% of American adults are overweight or obese.

Anorexia is the 3rd most common chronic illness among adolescents.

Roughly 25 million men and 43 million women are dieting to lose weight.

1 in 10 receive treatment for eating disorders.

One out of every five adults is classified as obese.

Without treatment up to 20% of individuals with serious eating disorders will die.

Substance abuse and other chemical addictions hide underlying eating disorders.

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AN OPPORTUNITY TO BEGIN AGAIN Utah County’s premier resource for addiction treatment Intensive Outpatient treatment for all addictions • Supportive sober living housing • Transition support systems • Goal setting and recovery coaching • Crisis Support • Voc rehab and jobs program • Individual and group therapy • Court supported services • Intensive Out Patient services

801-472-9780 www.ipromisefoundation.org

i-Promise Foundation is a non-profit dedicated to helping families in transition, providing economic opportunities, job creation, as well as encouraging spiritual well-being of families and the communities we serve. nancy@ipromisefoundation.org

promise foundation

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EATIING DISORDERS

Laurel Hill Inn 781.396.1116 Laurelhillinn.com Medford, Ma.

Loma Linda University- eating disorders Ask for Rose 909-558-4000 Redlands, Calif.

Sierra Tucson 800.842.4487 Sierratucson.com Tucson, AZ.

River oaks Hospital 504..734.1740 ext 207 Riveroakshospital.com Ward Johnson New Orleans, La. Military programs for substance abuse

La Ventana â&#x20AC;&#x201C; 4 facilities 800.566.8518 Laventanaeatingdisorderprograms.com Also substance abuse San Francisco, Calif.

Casa Palmera 888.481.4481 Del Mar, Calif. Casapalmera.com

Puenta de Vida 877.995.4337 - outpatient Puentedevida.com San Diego, Calif.

Mirasol 888.520.1700 Mirasol.net Tucson, AZ.

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EATING DISORDERS

Rosewood Ranch 800.845.2211 Rosewoodranch.com Wickenburg,Az.

Avalon Hills 800.330.0490 Avalonhills.org Adolescent and adult eating disorders Petersboro, Utah

Shoreline 562.434.6007 Rachel Levi, Founder Rachel@shoreline-eatingdisorders.com Shoreline-eatingdisorders.com Long Beach , Calif.

Harmony Grove 855.572.1036 Harmony-grove.com Laurie Daily San Diego, Calif.

Eating Recovery Center 877.825.8584 Eatingrecoverycenter.com Denver, Colo. Adolescent and adult treatment Inpatient and outpatient

Reasons Eating Disorders Center 800.235.5570 Reasonseatingdisorderscenteres.com Alhambra, Calif. Adult and adolescent treatment

Summit Eating Disorders and Outreach 916.574.1000 Jacqueline@sedop.org Sacramento, Calif. Adolescent treatment

Recovery Ranch 931-729-9631 recoveryranch.com Nunnelly, Tenn. Also Detox

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EATING DISORDERS McCallum Place 314.968.1900 mccallumplace.com adolescent and adult treatment St. Louis, Mo.

Eating Disorder Institute 701.293.1335 Fargo, No. Dakota

Texas Health 800.412.7081 texashealth.org women's services Plano, Texas

The Renfrew Center 9 locations in 8 states 800.736.3739 renfrewcenter.com inpatient/outpatient adolescent and adult treatment

Rogers Eating Disorder Services Rogers Memorial Hospital 800.767.4411 Oconomowoc, Wis. Adolescent and adult treament

The Center aplaceofhope.com 800.771.5166

Torrence Medical Center 310.325.4353 Torrence, Calif. teens and young adults

CRC Health Group Center of Hope 888.540.5240 Reno, Nevada

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FINANCIAL INFORMATION

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COST OF TREATMENT AND SOLUTIONS IT’S difficult to watch as loved ones fall deeper into addiction and further away from a full and productive life. In a perfect world, anyone who needs treatment would have the access to the best care for the right results – a solid foundation for a clean, sober and healthy life. Yet, access to the right treatment is dependChelsea ent on many variables including a person’s Dickinson income, health insurance coverage and available treatment options. While financing is a critical piece to receiving quality treatment, people often do not know how to approach the issue of how to pay for treatment. Choosing the right drug and alcohol treatment option can also be intimidating. The right decision will often depend on the history or degree of addiction, eligibility for public programs and/or availability of other financial resources. There are hundreds of state and federally funded rehabilitation programs available. Families can use a free facilities locator by visiting http://findtreatment.samhsa.gov/links.htm. The Substance Abuse Treatment Facility Locator lists: • Private and public facilities that are licensed, certified, or otherwise approved for inclusion by their State substance abuse agency • Treatment facilities administered by the Department of Veterans Affairs, the Indian Health Service and the Department of Defense. The choices for treatment can range from community based outpatient treatment to inpatient residential facilities. Intensive residential treatment is often the best solution for people with severe addiction histories. These programs work best for those who have tried and failed with outpatient programs and/or those who simply know they need more intense support to make a serious commitment to change. Most public programs are in high demand and are typically designed for those who meet income eligibility requirements

and/or receive state funded Medicaid benefits. Those who are eligible for admission to a public facility may receive treatment services with no to very little out of pocket dollars. Unfortunately, because of this and the high demand, the waiting lists to most public rehabilitation programs are long. This can result in a missed treatment opportunity for a person who is ready for immediate help. When a person has health insurance, options for both private and public facilities may expand. Yet in today’s managed care market, a person should not assume that just because one has insurance that benefits will be paid to the facility of choice. Most insurance companies have agreements with treatment providers to accept what they offer in payments and will not authorize admission to a program that is not on their provider list. Even if the insurance company does agree to pay, the policy holder may have to come up with upfront cash to pay for treatment. Many insurance companies will not pay their portion until care has been provided and most private treatment facilities require partial to full payment before enrollment. Because of this, many who have coverage have come to realize that they will need to invest a substantial amount of their own. It is important for families who do have insurance to ask their insurance companies the following questions:

1. Do I have coverage for in-patient or out-patient addiction treatment? 2. What treatment providers are considered in-network and are covered by the plan? 3. How many days are covered and up to what amount per admission and/or per year? 4. For those who have had prior treatment, is there a life time maximum for this type of treatment? 5. What are the required co-pays, deductibles and other outof-pocket costs? If insurance does little to defray the out of pocket expenses or if a family is simply not insured there is still two options for pay-

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ing for treatment - funding the program completely out of pocket or financing all or part of the cost. For those who must pay the full amount, most facilities will discount treatment for cash payments. It is always worth asking. This can help to significantly reduce the total cost of treatment. Yet, more than likely a gap will still need to be closed. Another option is to work with a national financing advisory firm whose specialty is helping families finance the cost of treatment. Clark Behavioral Health Financing’s advisers can personalize loan packages that that meet the unique needs of each borrower. Loans can be completed within days and do not require families to sell assets or tap into saving or home equity. A financing adviser can help families be cautious and savvy consumers by getting quick and accurate answers to the following questions: 1. What types of financing am I eligible for? 2. What are the credit and income requirements?

3. How much can I borrow? 4. Can I add a co-signer or can someone else borrow on behalf of the addict? 5. Are the loan funds sent to me or to the treatment center? 6. Can we finance our travel, intervention and aftercare costs? 7. What are the interest rates and other terms of the loan? 8. Can I pay off the loan early with no penalty? 9. How much are the payments and when do they begin? To learn more, families can explore their financing options and receive a free credit review by visiting www.clarkbhf.com While most people know that there are many paths to recovery, most are also confused and overwhelmed by how to pay for it. Local, state, federal and private options have helped millions who were ready to ask for help. Yet, the sad truth is that wading through the complex issues of how to pay for the care can stop many from even exploring treatment. While it is common sense to see that the cost of not

treating addiction is far more damaging to the pocket book in the long run. It is also true that there are resources to help families get the right help for their loved ones. Achieving a life of sobriety will be an investment in which the return will be the restored health and wellbeing of a family. Clark Behavioral Health Financing is a subsidiary of Clark Custom Educational Loans Inc., a leader in therapeutic and special needs financing since 2003. Clark Behavioral Health Financing (CBHF) a unique "one-stop shop" financial solutions company designed to meet the needs of families and individuals seeking private treatment. Our promise is to expand the financial choices of our clients and provide the knowledge and expertise they deserve. CBHF knows that cost is a concern for everyone seeking behavioral health treatment. We can help to find a solution so that the concern can stay were it belongs- with the patient. Chelsea Dickinson, Director of Marketing and Program Relations, Clark Behavioral Health Financing.

Securing Financing For Behavioral Health Treatment Is Our Specialty! When faced with the challenge of paying for private healthcare, you deserve to have choices. Clark Behavioral Health Financing can help you find a financial solution. Let us put the pieces together so that you can focus on what’s most important – the health and happiness of you and your family Customized Financing Plans Treatment Centers; Transitional Living Facilities; Wilderness Programs; Eating Disorder Clinics; Drug or Alcohol Rehab, Weight Loss; Inpatient and Out Patient Services and More

Clark Behavioral Health Financing

888-755-3079 clarkbhf.com

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FINANCIAL INFORMATION HAVING

funds for treatment is a real struggle for families. They fight with insurance comnpanies and drain their savings to get their loved one help. Here is a list of medical financing companies. We do not endorse a particular company and would encourage the reader to do their due diligence to seek out a lender that will meet their needs and be reliable. These lenders do work with preferred providers and if you have chosen a treatment provider ask them who they might use for funding.

My Medical Loan Mymedicalloan.com 1-800-788-0711

Serenity Loans info@serenityloans.com

Med Choice Financial www.Medfinancing.com 800-358-8980

Med Loan Finance 10515 W. 148th Terrace Overland Park, KS 66221 Phone: 800-504-4053 Fax: 800-555-8122 Email: info@medloanfinance.com

Enhance Patient Financing, Inc 877-436-4262 Phone 760-734-5952 Fax

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PROCESS ADDICTIONS

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WHAT IS A PROCESS ADDICTION? PROCESS

addictions are typically referred to as those behaviors that result in self destruction are not behaviors dependent on the use of a substance. The unmanageable behaviors or mood altering behaviors include the following : • Pornography • Sexual activity • Addicted to love or attention • Eating disorders • Gambling • Spending or shopping • Internet abuse • Work-aholic • Tattoos • Plastic surgery • Risk Taking — Sky diving, Bunging jumping, Mt. cllimbing • Violence and Spousal abuse • Child abuse – sexual and physical

“Caught in deadly processes. Recovery: it’s not just for “addicts” anymore. It’s not even just for persons, not when addictive processes permeate every social system we’ve got, from schools to churches to workplaces to governments. We’re up to our ears in addictmaking processes, and we can’t take two steps out of bed without running into them.” The Paradigm Conspiracy Denise Breton and Chris Largent, Any behavior can become an addiction when the behavior or activity controls your thinking. When the rest of your life is unmanageable and your family, work or other relationships start to suffer because of your obsessive behavior – it is an addiction. Often process addictions do accompany substance abuses or other mental health issues. This is referred to as a Dual Diagnosis. Process addictions often occur in the behaviors of people who have strong core values that would not allow them to initially use drugs or alcohol and so they transfer their inability to cope to a behavior.

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THE STATS ON INTERNET PORNOGRAPHY

ornography has been traded online since the 1980’s. Even in the form of ASCII art, and then, with the rise of the world wide web in the 1990’s, adult websites began springing up everywhere. Here are the figures for the enormous world of internet pornography.

12% of the websites on the internet are pornographic.

That’s 24,644,172 sites.

Every Second...

$3,075.64 is being spent on pronography.

40 million americans are regular visitors to porn sites 70% of men aged 18-24 visit porn sites in a typical month

1 in 3 porn veiwers are women

28,258 internet users are veiwing porn.

In the U.S., internet porn pulls in $2.84 billion per year. The worldwide industry is worth $4.9 billion. Internet Porn Revenues

10.

U.S. $2.84 billion Worldwide $4.9 billion

34% of internet users have experienced unwanted exposure to porn either through pop up ads, misdirected links or emails

11.

There are 116,000 searches for “child pornography every day

2.5 billion emails per day are pornographic.

12. That’s 8% of all emails.

Utah has the nations highest online porn subscription rate per thousand home broadband users: 5.47

13.

25% of all search engine requests are pornography related. That’s 68 million a day.

The average age at which a child first sees porn is 11

9 10 11 12 13 14 15 16

20% of men admit to watching porn online at work. 13% of women do.

68 million

The average porn site visit lasts 6 minutes and 29 seconds.

14.

35% of all downloads are pornographic.

The least popular day The most popular day of the year for viewing of the week for viewporn is Thanksgiving. ing porn is Sunday.

Top pornographic search terms:

Thanksgiving

Number of search terms in millions. “sex” “adult dating” “porn”

Sunday

Elmhurst, Illinois is the #1 city in the U.S. to search for porn.

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HIDDEN EPIDEMICS!

Compulsive Spending and Theft

ACCORDING

to recent statistics and surveys, more than 10% of Americans shoplift. The vast majority of them shoplift not out of economic need or greed but in response to personal and social pressures in their lives. For most shoplifters, it’s not about the money or the thing–Winona Ryder proved that. Most act out of feelings of anger, loss, disempowerment, and entitlement. And many become hooked, addicted. Nearly 70% of shoplifters arrested will shoplift again. Have you or anyone you know ever shoplifted? A related behavior, employee theft, is even more pervasive. The American Society of Employers, estimates that retailers alone lose 2-3 times as much from “internal theft” as from shoplifting; and that 55% of employee theft is committed by managers and supervisors. The U.S. Chamber of Commerce estimates that 75% of employees steal from their work place and that most do so repeatedly. Even “time theft” or loafing costs U.S. employers nearly $500 billion per year in lost productivity. The FBI calls employee theft “the fastest growing crime in America.” Have you or anyone you know ever stolen anything from the workplace? In addition, you’ve no doubt heard Oprah, Suze Orman, or dozens of others sound an alarm about the growing problem of individual and collective debt and financial “dysfunctions.” The primary culprit is out-of-control shopping and spending. In 2006, Stanford University published the results of its landmark study which identified “compulsive buying disorder” as a phenomenon affecting 6% of Americans (nearly 18 million people). Men and women suffer about equally from this disorder which often results in lying and hiding behaviors—similar to other addictions—as well as hoarding. Other statistics show that the average American is nearly $10,000 in debt due to discretionary purchase and that arguments about money and spending are the leading cause of conflict and separation/divorce among couples. Have you or someone you know ever had a shopping or spending problem? What is common about shoplifting, employee theft, and overshopping or overspending is that they have only recently been identified and treated as mental health issues. Most compulsive theft differs from kleptomania—a rare impulse control disorder that affects 6 out of 1,000 Americans, mostly women from age 20 and up. Ironically, kleptomania remains the only officially recognized diagnosis for theft behavior. Theft is typically viewed as merely a legal or a moral issue, as in “Thou Shalt Not Steal.” With shopping or spending, we joke about “retail therapy” and label ourselves or others “shopaholics” with pride. Telling someone with a serious shopping or spending problem to just cut up their credit card is like telling an alcoholic “just don’t drink.” As a therapist specializing in treating compulsive theft and spending, and as a recovering theft addict myself since 1990, I have had the opportunity to help thousands of people over the last 16 years. In 1992, I founded C.A.S.A. (Cleptomaniacs And Shoplifters Anonymous). Only a handful of such support groups

exist in the world. While there are more Debtors Anonymous groups around, there are no Shopaholics Anonymous groups. Most therapists fail to recognize, let alone effectively treat, people who are afflicted with theft or spending issues. Frankly, most clients themselves rarely bring them up out of fear, shame, and ignorance. In the mental health profession, we have failed to recognize these behaviors as both widespread and treatable. On most of our basic screening forms, we assess for all sorts of problems but not those related to stealing or shopping/spending. It may only be when a client is formally asked “Have you ever had a problem with shoplifting, employee theft, or shopping, spending, or money?” that we, as well as the client, may recognize this as a vital and relevant issue. It takes extreme sensitivity and competence to navigate the waters of a client who has chronic theft or spending issues. Some questions to explore are whether a client can go to stores or back to work; whether they should get rid of certain items or money and if so, when and how? What are “gray areas” they need to be alert to? How do they regain the trust of their family and friends?

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CATEGORIES OF PEOPLE WHO STEAL AND OVER-SHOP Common Thieves/Professionals—The plain opportunists who work individually or in “rings” to shoplift or steal from work purely for profit or greed. It’s a job to them, whether part-time or full-time. Most won’t benefit from C.A.S.A. or therapy. (10%) Drug Addicts/Gambling Addicts—Those who steal to support an underlying addiction. They usually need treatment for their underlying addiction(s) first but may have picked up a theft addiction along the way. (10%) The Impoverished—Those who perceive that they need to steal to survive. It’s tempting to put morality on a shelf during tough times but don’t let people justify it. Explore resources and issues of pride and fear in asking for help. Often grief and loss issues are present. (10%) Thrill Seekers—Mostly younger people who steal as a dare, due to peer pressure, or who are drawn to various risk-taking behaviors. They must discover how this developed and find safer, more affirming ways to experience excitement. (10%) Absent-minded—Mostly older people, those on medications, those with cognitive disorders, or those who need to slow down their pace. Accidents do happen… but tell that one to the judge! (1%) Kleptomaniacs—Those who steal impulsively, not out of anger, mostly to calm self when anxious. Items stolen are usually discarded, hoarded, not even needed. Treatment usually is with medication and cognitive-behavioral therapy. (1%) Addictive-Compulsives—Those who tend to get a rush from stealing but the stealing is the acting out of emotions, the ritual effort to distract oneself from pain and to make life right. The stealing is the drug. Medication and therapy are often essential but may also need ongoing recovery and support. (58%) Similarly, there are several categories of compulsive shoppers or spenders: Classic Compulsives—Those who habitually overshops or overspends, especially when triggered by painful emotions or events. The shopping or spending is like a drug, used to “numb-out” those intense emotions. Bargain Shoppers—Those driven by the need to get a good deal—regardless of income level. They often feel “one up” or “victorious” and often get into debt nonetheless. Issues of self-worth respond to treatment. Image Shoppers—Those who buy things less for the inherent value of the item and more for the status of the item or the way they feel or think they will be perceived by others. Their self-esteem is all tied up in image and things.

Trophy Shoppers—Those who typically buy less to impress others and more to feel an inner satisfaction of buying a rare or expensive item. It becomes problematic when it takes up time and effort and money and is outward-focused satisfaction. Collector Shoppers—Similar to trophy shoppers except there is usually more frequent shopping and accumulation of things to the point of hoarding. Items are often symbolic and collecting is obsessive and control-oriented. Co-Dependent Shoppers—Those who buy things primarily for other people to gain or secure love or approval and to keep others from leaving. They feel their primary worth or value is in what they can give others. Bulimic Shoppers—Similar to actual bulimia, these are folks who typically go on a shopping or spending binge and then feel guilt, shame, fear or remorse and attempt to return items or things purchased. The cycle repeats over and over. There are those who are less concerned with “things” than experiences or who may make occasional—rather than frequent—purchases that are financially excessive. Overspenders may splurge on dining out, vacations, theatre/concerts, hosting parties/weddings/gatherings, or may excess their budget on cars, homes, an engagement/wedding ring, or other “lifestyle purchases.” With compulsive theft and spending, there are roughly ten emotional issues which often are at the root of the person’s behavior, the fuel that is driving it. These motivations can be applied to other addictions as well. They include: 1. Anger—to try to take back control, to make life fair 2. Grief—to fill the internal void due to a loss with material objects 3. Depression—to distract/numb-out from sadness, to get a lift 4. Anxiety/Stress—to calm fears, to comfort/self-sooth 5. Acceptance / Competition—to fit in, generate artificial self-worth 6. Power and Control—to counteract feeling lost or powerless 7. Boredom/Excitement—to live life on the edge, to generate intensity 8. Shame/Low Self-esteem— to validate a reason to feel bad or to create a sense of competence in something even if it is a negative behavior like stealing 9. Entitlement/Reward—to compensate oneself for over-giving or having suffered, to make up for sacrifices such as diets, sexual abstinence or refraining from “sinning” 10. Rebellion/Initiation—to break into one’s authentic identity

Indeed, many who keep secrets from loved ones and wonder whether to tell at all. I offer this work not to make excuses for stealing or overshopping/overspending but to help us become aware that we need treatment alternatives. We need to look at the roots of these behaviors which are not merely personal or familial but which are related to increasing stress, materialism, emptiness, and addiction in our society and world. We need more research and new perspectives. Like with any epidemic, the longer we wait, the more we will all suffer. My hope is that with more open conversation and more resources available, we shall see a transformation in the awareness of how we view these behaviors. Then, and only then, will we attain a more honest, balanced, and abundant society and world. Terrence Daryl Shulman, JD,LMSW,ACSW,CAAC,CPC is a Detroit area therapist, attorney, author, and consultant. He is the founder and Director of The Shulman Center for Compulsive Theft & Spending. He is the author of “Something for Nothing: Shoplifting Addiction and Recovery” (2003), “Biting The Hand That Feeds: The Employee Theft Epidemic… New Perspectives, New Solutions” (2005), and “Bought Out and $pent! Recovery from Compulsive $hopping and $pending (2008). He organized and presented at The First International Conference on Theft Addictions & Disorders in Detroit in 2005. He is organizing and presenting at The 2nd International Conference on Compulsive Theft & Spending in Detroit on September 27, 2008. He can be reached at or 248-358-8508 or through his various websites: Mr. Shulman does counseling and consulting locally and by phone.

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PROCESS ADDICTION TREATMENT Sexual recovery 310-360-0130 www.sexualrecovery.com

Rimrock Gambling 800-227-3953 Billings, Mt. www.rimrock.org

Pasadena Recovery Center 626-345-9992 www.pasadenarecoverycenter.com

ABC Algamus 941-778-2496 Prescott, AZ www.algamus.com

Rancho L’Abri 619-468-9333 San Diego, CA. www.ranchoabri.com

Valley of Hope 760-864-5101 www.valleyofhope.com

Bow Creek Recovery 208-459-8833 Caldwell, Id. www.bowcreekrecovery.com

Life’s Journey 760-864-6363 Palm Springs, CA www.lifesjourneycenters.com

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OTHER RESOURCES

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OTHER RESOURCES STOP! Youâ&#x20AC;&#x2122;re not raising a child... Youâ&#x20AC;&#x2122;re raising a future adult We interviewed numerous successful adults in search of common themes. We studied their life stories and compared them to biographies of other well-known high-achievers. A pattern emerged. Successful adults share a common background, something we call the Four Foundations of Adult Achievement.

What Kids Need to Succeed by Andrea Patten and Harry S. Patten

visit whatkidsneed.com or call 1-800-814-9965

The Alcoholism and Addiction Cure by Chris and Pax Prentiss A holistic approach to total recovery from alcohol and drug dependency.

We invite you to read our life-saving book, THE ALCOHOLISM AND ADDICTION CURE, which is showing people the world over how to completely and permanently put an end to dependency on drugs, alcohol and addictive behavior right there where they live.

Buy now at $18.95 www.passagesmalibu.com

Living with a Functioning Alcoholic by Dr. Neill Neill, For women with alcoholic husbands. Are you worried about him? Are you worried about your relationship? Your Children? Yourself?

http://alcoholism.neillneill.com/living-with-a-functioning-alcoholic/

The Fearless Mind: 5 Essential Steps to Higher Performance Research shows that the number one aspect in the success of high performing individuals is confidence. Achieving a Fearless Mind will benefit anyone working towards overcoming adversity in their life and achieving a high level of performance. This can be true for executives, athletes as well as anyone working to overcome bad habits.

Order your copy of the Fearless Mind by Dr. Craig Manning, PHd.

www.visualizeone.com

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DESIGN YOUR OWN RECOVERY PROGRAM

THERE

are many reasons why an individualized program may work best for your family and loved one. Some of those might include: 1. Cost 2. Accessibility to resources 3. Staying true to core values 4. Severity of addiction 5. Desire to have a greater holistic approach Not everyone is interested in the traditional approach to treatment/recovery. Four Causes of Dependency 1. Chemical Imbalance 2. Unresolved Issues from your past 3. Beliefs that you hold inconsistent with what is true 4. Inability to cope ( Source: The Alcoholism and Addiction Cure; Chris Prentiss ) After my own experience with my son relapsing and dissatisfaction with treatment programs we decided to design our own recovery plan . After months of research looking at alternative treatment approaches, visiting treatment facilities, going to support group meetings and based on our core family values, I felt a holistic approach addressing his body, mind and spirit was the most desirable approach to achieve permanent recovery – a cure. I found a common affinity with the Passages philosophy that you can be cured of your dependence on substances and/or addictive behavior. I highly recommend reading The Alcoholism and Addiction Cure by Chris Prentiss before you design your plan. When designing your own plan it is important to remember the 4 causes of dependency noted above and choose a support team that would help address and treat the addictive behaviors. The objective of your plan should be to: 1. Discover, diagnosis and resolve the physical and medical issues that are a result of or contribute to the addiction. 2. Have a medical professional help

PROGRAM determine the true nature of chemical imbalances – after detox 3. Find a team of professionals to provide therapeutic services 4. Put into place a personal development plan that includes plans for the future, spiritual needs, financial objectives, fitness and nutrition 5. uncover the underlying causes, address the false beliefs and design new ways to cope Here is a list of professionals you may want to include in your plan – It is critical that you interview your providers to see if they hold the same views as you. You want someone who believes that you can be healed… that you can be cured of addiction. Medical Doctor Physiologist and/or Psychiatrist Hypno therapist Nutritionist Fitness expert Acupuncturist Physical Therapist

Yoga instructor Massage therapist Other specialist may include: Grief counselor Marriage/family counselor Domestic Violence specialist Vocational rehab/job coach Sober Living companion

Some of the approaches we added to our recovery plan included a nutritional plan that included cleanses, multivitamins and minerals. We engaged a high performance sports psychologist who designed a fitness/exercise plan. A therapist who was also a certified hypno-therapist to address the guilt and shame that accompanied the unresolved past issues. To treat the lingering pain caused by deteriorating body after 15 years of alcohol and drugs – we added an acupuncturist. These steps may taken also as a aftercare approach to accompany your loved one in aftercare, as it takes time for the body to repair itself. Nancy Low

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MINISTRIES LDS Family Services UT American Fork Agency 433 S. 500 E. American Fork, UT 84003 PH: 801-216-8000 FAX: 801-216-8001 LDS Family Services UT Cedar City Agency 2202 North Main, Suite 301 Cedar City, UT 84720-9791 PH: 435-586-4479 FAX: 435-865-0023 LDS Family Services UT Centerville Agency 95 East Pages Lane, Suite A Centerville, Utah 84014 PH: 801-294-0578 FAX: 801-298-2147 LDS Family Services UT Harrisville Office 435 North Wall Avenue, Suite C Harrisville, Utah 84404 PH: 801-782-2000 FAX: 801-782-2041 LDS Family Services UT Layton Agency 930 West Hillfield Road, Suite A Layton, UT 84041 PH: 801-336-3040 FAX: 801-336-3041 LDS Family Services UT ST George Office 2480 East Red Cliffs Drive St George, UT 84790-5457 PH: 435-673FAX: 435-652 LDS Family Services UT Salt Lake City Agency 132 South State Street, Suite 100 Salt Lake City, UT 84133-1506 PH: 801-240-6500 FAX: 801-240-5508 LDS Family Services UT Logan Agency 175 West 1400 North, Suite A Logan, UT 84321-6816 PH: 435-752-5302 FAX: 435-753-9007

LDS Family Services UT Ogden Agency 1525 Lincoln Avenue Ogden, UT 84404-5624 PH: 801-621-6510 FAX: 801-621-7024

LDS Family Services UT Sandy Agency 625 East 8400 South Sandy, UT 84070 PH: 801-566-2556 FAX: 801-566-2639

LDS Family Services UT Price Office 630 West Price River Drive Price, UT 84501 PH: 435-637-2991 FAX: 435-637-1775

LDS Family Services UT West Valley Agency 5698 West Glen Eagle Drive West Valley City, UT 84128 PH: 801-969FAX: 801-969-1291

LDS Family Services UT Provo Agency 1190 North 900 East Provo, UT 84604-3598 PH: 801-422-7620 FAX: 801-422-0165

Catholic Servcies Services for Men St. Mary’s Home for Men is a residential substance abuse treatment facility designed to help clients overcome addictions and transition to independence, security, and good health. Services for Women Women’s Treatment meets the special addiction recovery needs of women by providing comprehensive substance abuse treatment on an outpatient basis that centers on education and empowerment. Child care and case management for their children is also provided.

LDS Family Services UT Richfield Agency 681 North Main Richfield, UT 84701 PH: 435-896-6446 FAX: 435-896-8769 LDS Family Services UT Riverton Office 3740 W. Market Center Drive (13200 South) Riverton, UT 84065 PH: 801-240-9436 FAX: 801-240-9452

More resources available at www.informationandreferral.org. 745 E. 300 South Salt Lake City, UT 84102 (801) 977.9119

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The most affordable outpatient substance abuse and mental health treatment program in Utah

The I promise Foundation is a faith based, mentor led non profit organization committed to helping individuals and families heal and find better, wiser ways to lead their lives free from addiction and the patterns of incarceration. The I Promise IOP is founded on recovery principles of personal excellence and empowerment. We believe that an individual can heal from the devastating effects of addiction by addressing the 4 underlying causes of addiction and reconnecting with their Divine Nature. • • • •

Inability to cope with current conditions Values that are inconsistent with what is true Unresolved events and issues from your past Chemical Imbalance (other medical issues)

Our programs are available in three phases depending on the client needs. Statistics show that outpatient programs provide a more comprehensive long term solution for individuals seeking treatment where greater recovery success is found. The program can be customized for the individual who is employed, has other conflicting schedules or requires more intensive therapy hours. The typical outpatient treatment plan is designed for 90 days.

Payment arrangements scholarships ATR vouchers Affordable Sober Living

We treat all addictions - chemical substance abuse and process addictions such as eating disorders, gambling, sexual addictions and pornography which can often accompany chemical abuse. We also have ADD/ADHD specialty programs, Anger Management and offer services to help clients comply with probation and parole or court requirements.

housing is available for qualified applicants

For pricing and sliding scale information contact:

pr om is e promise foundation found at ion

801-472-9780 ipromisefoundation.org

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