The Meadows Blog

By Thomas Best, MD, Director of The Meadows

The Meadows is offering a new program called the "Integrated Evaluation." This program combines our groundbreaking Survivors Week workshop with a state-of-the-art evaluative process.

In addition to attending the workshop, each client meets with a treatment team consisting of a psychiatrist, primary care physician, addiction medicine specialist, clinical psychologist, and nutritionist. The evaluation team works collaboratively to ensure that clients receive the most thorough, integrated, and comprehensive evaluation.

Offered at The Meadows for more than 20 years, the Survivors Week workshop examines the origins of adult dysfunctional behaviors by exploring early childhood issues; these can play important roles in various addictions, mood and anxiety disorders, painful relationships, and other emotional issues. In this revolutionary educational and experiential process, participants learn to identify and address family-of-origin issues that took place from birth to 17 years of age. The primary focus of the workshop is to learn to deal with the emotions that accompany any less-than-nurturing past event, and then to work on resolution of the consequential grief and anguish.

Each participant will meet with a member of our highly trained psychiatric staff who will provide a thorough psychiatric consultation. All of the psychiatrists at The Meadows are board-certified by The American Board of Psychiatry and Neurology, and all have received training in The Meadows' therapeutic model. They strive to view a person's mental health issues in a holistic context and consider all therapeutic options.

The in-depth medical evaluation includes a comprehensive history, physical examination, and thorough laboratory workup. A medical evaluation is extremely important when diagnosing and treating mental health concerns. Often there is a direct correlation between medical issues and psychiatric symptoms. When the underlying medical issue is diagnosed and treated appropriately, the troublesome psychiatric symptoms may remit without medication. A medical examination is also very important in the evaluation of alcoholism and drug addiction, as these disorders frequently lead to medical problems. Our board-certified primary care physician is also certified by the American Society of Addiction Medicine. Psychological testing is also valuable to the assessment process. The results are interpreted by The Meadows' Director of Psychology. Finally, a thorough nutritional evaluation addresses the nutritional needs of the client and any potential problems with food, such as an eating disorder.

At the conclusion of the week, the client meets with our professional staff to discuss the preliminary diagnostic findings and treatment options. A complete report is then sent to the client within two weeks.

For more information, please call 800-632-3697.

Published in Blog
Sunday, 29 March 2009 20:00

The Meadows Announces

The Meadows Addiction Treatment Center is excited to announce its latest web project:

The goal of the the new site is to clarify some of the basic questions relating to a patient's decision to enter a drug rehabilitation facility. In the future, the blog will also answer questions related to the experience itself, expectations and continuing care, which is a vital factor in long-term recovery success.

Some of those questions are:

How do I know if I need rehab?
How should I decide on a rehab facility?
Should my family be involved with my rehab treatment?

For the answers to these and other FAQs, visit

Published in Blog

Victoria Munoz, M.C., LPC, Counselor at The Meadows of Wickenburg

Is pornography causing problems in your relationship? Does your partner disapprove of your pornography use? Have you found that you prefer pornography to intimacy with your partner? Pornography, specifically Internet pornography, can have detrimental effects in a person's life. Although our culture has often said, "Boys will be boys," the Internet makes pornography available 24 hours a day. It is affordable, often anonymous, and endless in its supply. As a result, many people have found themselves using pornography compulsively. You may find that you are using it more than intended, needing more to get desired effects, using it to relieve stress, and using it despite negative life consequences. In addition to the problems Internet pornography may be causing your relationship, it may be causing work and legal problems as well. You are not alone, and there is help.

The compulsive use of Internet pornography is treatable. You may find yourself unable to discontinue your use of pornography alone, and perhaps it is time to consider treatment. Maybe you are seeking treatment at the urging of someone you love, maybe you have long known that you have a problem, or maybe you are fearful of where your behavior is taking you on the Internet.
In treatment you can explore the questions: "How did this happen to me?" "What role does Internet porn play in my life?" "Why is my continued use of Internet porn no longer serving me as it once seemed to?" In addition, you can look at patterns you have developed to numb or escape from daily life. In treatment you can become free of this compulsive behavior; by exploring family-of-origin and adult patterns, you can identify how and why pornography has been so alluring to you.  You do not have to continue living with feelings of shame and despair.  There is a solution.

Published in Blog
Wednesday, 25 February 2009 19:00

Understanding Sexual Recovery

Note: This article was originally published in the Spring 2007 edition of Cutting Edge, the online newsletter of The Meadows.

Understanding Sexual Recovery
By Maureen Canning, MA, LMFT

Sexuality is yoked with one's being - the body, mind and spirit. It is connected with one's identity, or essence. But as a culture, we have conditioned ourselves to experience and express our sexuality with a laser focus on physical gratification, the seeking of pleasure and release.

This is only a small part of what our sexual selves encompass. The totality of sexual expression is experienced through one's passion, creativity and life force energy. When we hear a moving piece of music; create art; connect with nature; lust after our favorite food, engrossed in its consumption; grow passionate about learning a new language or dance step, this is the expression of our sexuality.

This energy taps into the core of who we are. That's what makes sex addiction so powerful
and what sets it apart from other addictions. Our sexuality comes from the depths of our being, as does recovery. Examining and integrating healthy sexuality from this perspective becomes much more than just "mind-blowing sex." It becomes a spectrum of possibilities, a transformation of the whole self.

For several years, Anna has been working on her recovery from alcohol and sex addiction. Like most addicts, Anna had given up her most treasured hobby; it had been sidelined by the tumultuous life of her addiction. Anna had given up riding horses. Once an avid polo player, she had dropped out of the game and sold her animals. After several years of recovery, she was able to reconnect with her passion. Anna recently bought a new horse and is training several others. She rides almost every day.

"Maureen," Anna says in a somber tone, "I was riding my horse the other day, and I think I had a spiritual moment."

"What happened?" I ask.

"I had been rushing around yesterday morning, and, by the time I got to the stable, I was in a bad mood. When I got on my horse, she fought me, wouldn't do anything. She threw her head up and tried to buck me off. A friend watching me suggested that I stand up in the saddle and get myself centered, take a few breaths and feel her rhythm. I did what he suggested, let go of my stress and got in tune with her. When I sat down, she became calm. I rode in that ring and felt so connected to her. It was amazing."

What Anna is creating is connection, first with herself and then with life at large. She has come a long way in her recovery, and she is now reaping its rewards. Of course, it has taken time and a concentrated effort. For sex addicts, recovery can be a long and arduous but rewarding process.

Treatment planning for sexual addiction needs to realistically address the healing of one's personhood. In early treatment, the goals are focused and concrete: breaking through denial, surrendering to the addiction, acknowledging losses, making disclosures to loved ones, working the 12 Steps, getting a sponsor, going to meetings, etc. In this phase of treatment, the client is typically in crisis, emotionally overwhelmed, disoriented and experiencing withdrawal. Inpatient treatment is an intense process that can leave the client feeling inundated and emotionally fragile upon discharge. Patients often feel splintered, their ego state disoriented, their affect-management tenuous and their communication skills poor. The stress of re-entering life is, at best, a challenge and, more realistically, a trigger for relapse.

Extended-care treatment involves giving patients time to identify and integrate ego states, stabilize their emotions, grieve losses, begin trauma resolution, and implement treatment tools for relational development with self and others.

The profound shame that patients feel, and the slow but constant erosion of their personhoods, are the results of sexual addiction. The trauma and subsequent addiction result from a lifetime of ritualized behaviors and deeply embedded coping mechanisms. Patients run from their shame, using anger to act out and destroy any semblance of an authentic self. The recovery of the authentic self and the ability to live in one's truth must be extracted from the wreckage of the addiction.

About the Author
Maureen Canning, MA, LMFT, Clinical Director of Dakota and Clinical Consultant for Sexual Disorder Services at The Meadows, has extensive experience working with sexual disorders. She is a past board member of the Society for the Advancement of Sexual Health, as well as past president of the Arizona Council on Sexual Addiction.

Published in Blog

In recent years there has been an explosion of knowledge about how experience shapes biology and the formation of the self. Within the disciplines of psychiatry and psychology, the study of trauma has probably been the most helpful in understanding the relationship between the emotional, cognitive, social and biological forces that shape human development. Trauma research has revealed new insights about how extreme experiences can profoundly impact memory, affect regulation, biological stress modulation, and interpersonal relatedness. These findings, along with a range of new therapy approaches, have led to new and unexpected ways to help traumatized individuals.

Coming on Friday November 21st to Universal City, California and Monday December 8th to West Palm Beach Florida, Bessel A. van der Kolk, MD, Clinical Consultant for The Meadows and Mellody House will present a lecture titled Trauma, Attachment, and the Body.

This lecture will present current research findings about post-traumatic responses at different developmental levels and in various domains, and will explore the treatment implications of these findings.
For more information on these and other lectures, please visit the events area on the Meadows website.

Published in Blog

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