The concept of "wellness" has gained popularity in today's media and has played a major role in the treatment of trauma and addictions. The word suggests a state of well-being, a balance in the social, emotional, occupational, spiritual, physical, and intellectual aspects of life. At The Meadows, the newly renovated Wellness Program is structured to help patients make choices to build a more successful lifestyle.
Frequently, those suffering the effects of trauma and addictions make poor choices that result in an imbalance in one or more areas of life. Addressing this imbalance has been an integral part of The Meadows' treatment program for the past 34 years. Developed by Pia Mellody, The Meadows' model focuses on the interplay of core issues throughout our development that have culminated in unmanageable symptoms or an imbalance in our lives. The five core issues - self-esteem, boundaries, reality, dependency, and moderation - form the foundation for the treatment program. If patients learn to make good choices in their lives, they will learn to esteem themselves, establish appropriate boundaries in relationships, live lives of moderation, accept their imperfections, and take responsibility for their needs and wants. They will be in a state of wellness.
Wellness Coordinator Courtney Berg will initiate the program by conducting an individual interview with each patient during his or her first week. A wellness questionnaire will be completed, and a medical doctor will be consulted in constructing a wellness plan consistent with the patient's treatment plan and physical condition. The Wellness Coordinator will monitor the wellness plan for each patient through regularly scheduled meetings and progress reports at weekly treatment team meetings.
Patients will begin each day with a walk around campus on a newly marked walking path. Monitored by the Wellness staff, this activity will serve to start the day "on the right foot." The walk itself is low-impact and appropriate for all levels of fitness. Those who are very fit will gain from the camaraderie and team building. Those who are not so fit will begin to build confidence and physical fitness.
The Meadows has historically offered tai chi and yoga. New offerings will include water aerobics, pilates, deeper forms of meditation, and expanded expressive arts activities. Saturday mornings will feature animal and equine therapy.
New programming will include a weekend Grief Workshop, Dating in Sobriety Workshop, Mindfulness in Recovery Workshop, 12 Steps in Recovery, Expressive Arts Experiences, and specialized lectures on the Brain and Trauma, Mind-Body-Spirit Connections, and The Role of Meditation in Treatment.
In a series of brief articles, beginning below, Pia Mellody illustrates how living The Meadows' model has brought balance to her life.
In beginning the draft of my fifth book, I find myself continuously re-examining the relationship between body, mind, and spirit. In doing so, I have become even more acutely aware of the spiritual battle that rages between the ego and the soul. This topic becomes more poignant as I watch The Meadows' treatment model continue to gain worldwide recognition as the "spiritual model for the treatment of trauma and addictions."
Treatment at The Meadows has always been all-encompassing, addressing the body, mind, and spirit. Treating the body through our Wellness Program contributes to the healing process. Treating the mind through readings, lectures, workshops, and group interactions leads to healing through a shift in cognition's role in our lives. Treating the spirit is about treating spiritual impoverishment; different forms of spiritual practice include, but are not limited to: meditation, tai chi, yoga, and following 12 Step practices. These, in effect, engage the patient in spiritual balance.
Looking at the role of ego in the spiritual battle, I see it as attached to "I," "me," and "my." Self-examination can reveal how the ego has been destructive in life processes. If the ego is too powerful, the individual cannot see how it's creating misery. Our treatment goal in this scenario is to get the patient to self-examine what he's doing via his own self-destructiveness. The ego is attached to the body and naturally seeks pleasure. Our senses lead us to addictive processes and compulsions to seek pleasure and thereby medicate ourselves. When we use substances (alcohol, drugs), processes (sex, gambling), or people (love addiction), ultimately we will experience misery, as we are self-medicating.
When we cover our soul with our ego, we lay the foundation for spiritual impoverishment. We have buried our value, power, and abundance. The soul, in this scenario, plays a pivotal role; it remembers that we - and others - have inherent worth.
As I work on the new book, I will continue to share my thoughts on the rich connections between mind, body, and spirit, as well as show how value, power, and abundance affect individuals and the greater world. In the next article, I will illustrate how to truly heal through the understanding and application of the five core issues.
Self-medication and PTSD: A Path to Greater Complexity and Addiction?
Readers familiar with their own journeys or observing the struggles that loved ones endure know that PTSD symptoms sometimes demand immediate relief. Mood-altering chemicals, especially alcohol and marijuana, often provide temporary relief from anxiety, anger, depression, and other "limbic" surges. For many, alcohol and marijuana "take the edge off." They numb intense feelings, appear to quiet repetitive thinking, and afford some sleep and relief from the aftermath of trauma. In fact, in Western culture, alcohol has been a favored method of "recovering" among warriors, firefighters, and others who engage in vital but dangerous missions. Temporary relief usually comes in the form of "feeling no pain."
Actually, for a small but significant percentage of survivors, alcohol and other chemicals permit relief from the absence of feeling. In other words, getting drunk or high permits some feeling - any feeling - to break through the numbing produced by PTSD. Self-medicating is a devilishly seductive way of managing trauma. Self-medication provides temporary relief - a shortcut with the illusion of healing - but, oh, the price you pay! Alcohol, for example, will add to depression, confuse thinking, poison core relationships and, for some, set off violent behavior. For many, self-medicating will become a full-blown addictive disorder. Instead of one problem (PTSD), they now have two! Self-medication can involve food, sex, and the usual suspects: cocaine, opiates, amphetamines, cigarettes, alcohol and marijuana.
Academics and clinicians differentiate drugs from medicines: Drugs are self-administered without controls for dose, purity, etc. Medicines are taken only as prescribed (but often abused by active addicts). It's an oversimplification to say that all medicines are good, and all self-medication is evil. Many medicines cause harm; benzodiazepines and some sleep medicines can become addictive. However, in the hands of a skilled practitioner, medicines can provide much-needed symptom relief while the patient masters natural techniques that are highly effective in managing PTSD's multidimensional symptoms.
Recovery takes hard work and support. Re-stabilizing one's body and soul requires more than simple, singular solutions, sayings or insights; it is a process we know works. Self-medicating is not only risky, it is often tragic. Too many soldiers and civilians have been further injured by self-medicating. Simplistic, seductive, addictive, compulsive, and self-administered "treatments" too often result in broken marriages, broken careers and broken bodies. Life is hard enough without trauma, and trauma is hard enough outside of addiction.
The path to healing takes work, and work sometimes requires peer and professional support. John Barleycorn and Jack Daniels are not healthy supports or tools for recovery. If you are new on the journey of healing, do not be seduced by the temporary fixes offered by alcohol, drugs or other self-medicating behaviors. Recovery requires new skills. It's a process of integrating and healing, achieving and connecting - not masking, numbing or avoiding. Keep it simple and do not be intimidated, distracted or seduced by the siren song of medicating oneself.
Peter Levine, PhD, Clinical Consultant for The Meadows, and author of Waking The Tiger and Trauma Proofing Your Kids, talks about how parents can help their worried children and "bounce back." Click Here
In an Unspoken Voice: How the Body Releases Trauma and Restores Goodness
The Meadows presents Peter Levine, PhD
December 3, 2010 Austin, Texas
Trauma is neither a disease nor a disorder, but is rather an injury caused by paralyzing fright, helplessness and loss. If we enlist the wisdom of the living, sensing body and engage our innate capacity to self-regulate high states of arousal and intense emotion, we can transform trauma and be healed. We will explore the roots of addiction in unresolved trauma, insecure attachment and habitual childhood frustration. Drawing on more than 40 years as a pioneering body-oriented clinician, as well as a parallel study of stress, biology, child development and discoveries in the neurosciences, Dr. Levine shows that it is possible to live life robustly with pleasure and creativity, even in the face of the most painful assaults to our humanity- and in the face of deceptively trivial ones. From an evolutionary understanding of the source of trauma, to a spiritual dimension of how we as human beings can be strengthened by traumatic healing, this journey unfolds- if we learn to attend to the "unspoken voice of the body."
This presentation will teach participants the following:
• To recognize the biological and naturalistic roots of trauma and their implications for treatment.
• To explain how sensate awareness is an important vehicle for regulating high arousal states and intense emotions in transforming trauma.
• To describe the relationship between developmental issues, unresolved trauma and addictive processes.
Peter A. Levine, PhD, Clinical Consultant of The Meadows and Mellody House, has a background in medical biophysics, stress and psychology. He is the originator of Somatic Experiencing®, which he has developed during the past 40 years. He teaches this method throughout the world. Levine is the author of the best-selling book Waking the Tiger and the book/CD Healing Trauma. He is also the co-author, with Maggie Kline, of Trauma Through a Child's Eyes: Awakening the Ordinary Miracle of Healing.
Sheraton Austin Hotel
at the Capitol
701 East 11th Street
Austin, Texas 78701
Self-parking at hotel is included.
5.5 Continuing Education Credits
To Register: http://www.themeadows.org/events/index.php?rm=event_details¶m1=show¶m2=135&
Recently John Bradshaw, Clinical Consultant for The Meadows, and author of three New York Times bestselling books including Homecoming: Reclaiming and Championing Your Inner Child; Creating Love; and Healing the Shame That Binds You, was quoted in an article on NBC's Ivillage with his thoughts about alcohol addiction. See http://www.ivillage.com/once-addict-always-train-wreck/4-a-296860
@Meadowsrecovery is just one more way of keeping in touch to help us ensure that you won't miss out on any content. Come follow us today!
The Meadows Maureen Canning was interviewed twice recently on the topic of sexual addiction.
Maureen first appeared on the Radio Health Journal podcast, an award-wining half-hour weekly radio magazine on issues in health, medicine and society. This program is now available for audio download.
The second interview was done with Bottom Line's Daily Health News, in an article titled "Is anyone you know addicted to sex?"
Published in last Sunday's New York Times (May 4th) is as an excellent article titled High Functioning, But Still Alcoholics.
Chronicled by Times writer Jane Brody, the piece reviews a new book from author Sarah Allen Benton, "Understanding the High-Functioning Alcoholic" (Praeger Publishers), and describes a familiar scenario:
"high-functioning alcoholics are able to maintain respectable, even high-profile lives, usually with a home, family, job and friends. That balancing act continues until something dreadful happens that reveals the truth - to themselves or to others - and forces the person to enter a treatment program or lose everything that means anything."
An excellent article noted by many here at The Meadows.
Note: This article was originally published in the Winter 2007 edition of MeadowLark, the Meadows' alumni magazine.
Spirituality is Something You Are: Forgiving, Loving, Finding Serenity
An excerpt from Changing Course: Healing from Loss, Abandonment and Fear
by Claudia Black, PhD, MSW
When you set out on a new course in your life, the course of recovery, you are on a spiritual path. It is a path that leads to forgiving, accepting, loving, and finding serenity within yourself and with others. This spiritual path promises to lead you from aloneness and emptiness to a sense of connection and meaning in your life.
On this new journey, we are often involved in a process of spiritual growth before we recognize the spirituality of it. Looking back, the turning point came when we allowed ourselves to begin letting go of our fears and defenses to hear the truth:
There is another reality than the one I live.
I want it. This insight led us to learn more about the "other reality" and to learn more of the truth. The truth is that we are all human, both unique and ordinary, filled with dark and light. The truth is that all of our life experiences, whether admitted or denied, form the ground we stand on now. And the truth is that - in spite of our imperfections, our past and present pain, and the roles we've adapted to survive - we now know that we are free to choose how we live our own lives. Realizing this, the victim's passive plea, "Why me?," becomes a new, proactive question instead: "What can I do now?" This shift brings us to another turning point and another awareness:
I am responsible for the choices I make in my life.
When we accept our humanness and exercise our responsibility for making our own choices - for example, choosing what we do when we are angry, lonely, or sad - we are involved in a spiritual process. Our spirituality must be based on a vision that attends to our whole self and honors our whole experience, while at the same time acknowledges that we are accountable in the present for our own feelings, beliefs, and behaviors.
In The Spirituality of Imperfection, Ernest Kurtz writes that we have suffered zerrissenheit, or "torn-to-pieces-hood." Spirituality, as he describes it, is the healing process of "making whole." Spirituality helps us first to see and then to understand, and eventually to accept the imperfection that lies at the core of our human be-ing.
Accepting our human limitation brings us inner peace. What a relief it is to put an end to the fight within ourselves. Also, as we find the permission to be the imperfect beings that we are, we become able to let others be who they are.
The experience of inner peace is foreign to those of us from shame-based families because there was so little peace and harmony in our lives. We didn't have the models that projected unconditional love, acceptance, or gratitude. As a result, we came to believe that if we were anything less than perfect we were inferior and of little value. So, we sought perfection, believing it was our only avenue to acceptance and love.
We were so hurt by the absence of the nurturing we needed to thrive that we have spent a great portion of our lives trying to make that unconditional love happen in the present, hoping somehow to make up for the past. Paradoxically, when we are willing to believe that we cannot change the past, then we become willing to let go of our pain.
Think about the family being a house with many rooms. Our growing up years were lived in our parents' room, which was connected to their parents' room, and their siblings' room, and so on. The present day is the room where we have lived our adult lives. A mixture of experiences has taken place in all of these rooms. Some experiences were good, some caused a lot of pain. We need to realize that all families are imperfect, as all of us are imperfect people. Those of us who don't understand or want to accept that truth remain actively in denial. As Thomas Moore writes in Care of the Soul, "The sentimental image of family that we present publicly is a defense for the pain of proclaiming the family for what it is - a sometimes comforting, sometimes devastating house of life and memory."
To deny or disown any part of our experience leaves us dangerously incomplete and especially vulnerable to our shame. The lifeblood of shame is secrecy, fed by the dark fear of being found out. To grow toward wholeness in the context of our family home, we have to open all the doors and windows to let in air and light. Then for us at last, healing will begin.
"You and I are children of mud, earthy and moist," Jane Smiley writes in A Thousand Acres. "We're not all fire and light - no matter how much we wish otherwise." Facing this truth, we reach another turning point:
It is in the acceptance of all that was and is that our spirits become whole.
Bill Moyers described acceptance as wholeness and health in an interview about his book, Healing and the Mind:
"Health is... a state of mind that recognizes the history of life, which includes moments of great delight and moments of deep sorrow. When we see all these parts of our being as connected, we come to terms with where we come from, who we are and where we're going. Health is a whole."
In the process of becoming whole, we may say we "have spirituality." But spirituality isn't an event or a possession. It's a way of living and being. Spirituality doesn't mean we never get hurt again, or that we are always smiling, always happy, never angry, and never scared. In part, spirituality means that when we are hurt or afraid we can respond without making matters worse. Also, as we change course and take steps on this spiritual road, we are able to enjoy the good feelings of being solidly balanced, open and unguarded, peaceful about the past and generally positive about how we are living in the present.