The Journey of Recovery: Staying On the Right Road

1. The Journey of Recovery: Staying On the Right Road Chip Abernathy

2. The 12 Steps of AA and NA and the Developmental Model of Recovery The model of recovery presented here is an abstinence-based, developmental model of recovery that is based in 12 Step philosophy, application and practice.

3. Step Work • Many AA and NA members would agree that all 12 Steps should be worked with the help of a sponsor, in order, and to best of one’s ability, during early recovery. • During each stage of recovery, along with other tasks that need to be accomplished, there is step work that needs to be done. Not doing that work prevents progress from one recovery stage to the next.

4. Structure People recovering from addictive disease do well with structure. Although it seems somewhat paradoxical, there is freedom with structure.

5. AA/NA Perspectives On The Journey Of Recovery “Rarely have we seen a person fail who has thoroughly followed our path.” AA Big Book, p. 58 “We have learned from our group experience that those who keep coming to our meetings regularly stay clean.” NA Basic Text, p. 9

6. AA/NA Perspectives On The Journey Of Recovery “Although we are not responsible for our disease, we are responsible for our recovery.” NA Basic Text, p.15 “What we really have is a daily reprieve contingent on the maintenance of our spiritual condition.” AA Big Book, p. 85

7. Beliefs Upon Which Gorski’s Developmental Model of Recovery are Based Recovery is a long-term process that is not easy. Recovery requires total abstinence from alcohol and other drugs, plus active efforts towards personal growth. There are underlying principles that govern the recovery process. The better we understand these principles, the easier it will be for us to recover.

8. Beliefs Upon Which Gorski’s DMR are Based ( Continued) Understanding alone will not promote recovery; the understanding must be put into action. The actions that are necessary to produce full recovery can be clearly and accurately described as recovery tasks. It is normal and natural to periodically get stuck on the road to recovery. It is not whether you get stuck that determines success or failure, but it is how you cope with the stuck point that counts.

9. Transition Transition Stage Develop Motivating Problems Attempt to Solve Problems Fail at Attempts to Control Use Accept Need For Abstinence and Need for Help 1st Step Surrender Step Work Focus During Transition Stage: 1st Step

10. Stabilization Stabilization Stage Recognize Need for Help Stabilize Thinking, Feeling and Acting Manage Post Acute Withdrawal and Addictive Preoccupation Find Your Place in AA/NA Develop Hope and Motivation Step Work Focus During Stabilization Stage: Steps 2 & 3

11. Early Early Recovery Internalize Addiction and Recovery - Work All 12 Steps Change Associates, Attitude, and Lifestyle Develop Identity As Recovering Person Develop Recovery-Centered Value System Step Work Focus During Early Recovery: Steps 1 - 12

12. Middle Middle Recovery Resolve Demoralization Crisis (Maintain Hope Through Surrender) Perseverance Attend To Unfinished Amends Establish Lifestyle Balance Find Your Happiness Step Work Focus During Middle Recovery: Any Unfinished Work With Steps 8, 9

13. Late Late Recovery Integrate Recovery From Childhood Issues With Recovery From Addiction Be Willing To Change Beliefs and Behaviors Find New Beliefs and Behaviors That Fit Change Lifestyle As Needed Step Work Focus During Late Recovery: Steps 10, 11 & 12

14. Maintenance Recovery Maintenance Maintain A Recovery Program Through Life Changes and Challenges Stick With the Basics Practice Effective Day to Day Coping Maintain Commitment to Growth Enjoy Life Step Work Focus During Maintenance: Steps 10, 11 & 12 (Especially) Repeat 12 Steps Regularly, and Practice Principles Daily

15. The Relapse Process:Veering Off the Road In the Journey Of Recovery Relapse Is A Process, Not An Event It Isn’t Whether or Not We Have Problems In Recovery That Counts; What Counts Is How We Deal With Those Problems

16. High Risk Factors High Risk Lifestyle Inadequate Recovery Program Social Conflict or Change Illness Isolation Trigger Events Stressful Thoughts Stressful Situations Painful Memories Painful Emotions Stressful Interactions With Other People Factors That Contribute To The Relapse Process

17. Relapse Warning Sign Progression Good Recovery Not Using Alcohol/Other Drugs Regular AA/NA Sponsor Contact Flexible Honest, Open-Minded, Willing Gratitude Recovering Friends Happiness Step Work Mgt. COD Having Fun Prayer Asking for Help Stress Management Accountable ----------------------------------------------- Change -------------------------------------------------------- Early Warning Restless, Irritable & Discontent Signs Evading/Denying ←Stress Core Issues Triggered (Internal) Problems (Ex:: Inadequacy, Trust, Abandonment) P. A. W. (P.A.W.: Difficulty Thinking Clearly, Managing Emotions, Sleeping, Remembering) ------------------------------------------------------------------------------------------------------------------------- Middle WarningEasily Angered Negative Comments Signs Defensiveness Avoiding Others Character Defects Increasing (External) Compulsive Behaviors/Process Addictions Recovery Structure Decreasing Isolation Increasing Decreased QOL ------------------------------------------------------------------------------------------------------------------------ Late Warning Conscious LyingStop AA/NA Altogether Extreme Isolation Signs DepressionObsession, Compulsion, Craving (Loss of Control)Self-pity Suicidal Thoughts Poor Judgment Planning Substance Use ------------------------------------------------------------------------------------------------------------------------- Initial Use of Alcohol/Other Drugs Progressive Life Deterioration High Potential for Death

18. Relapse-Prone Styleof Coping Evade/Deny Stress Compulsive Behaviors/Process Addictions Avoid Others Problems Escalate Evade/Deny New Problems

19. Relapse-Prone Coping Style:ESCAPE Evade/Deny Problem Evade/ Deny New Problems Stress Compulsive Behaviors/ Process Addictions Problems Escalate Avoid Others

20. Stopping the Relapse Process We Get Out Of The Relapse Process By Getting Into the Recovery Process

21. Recovery-Prone Styleof Coping Recognize Problem Exists Accept It’s OK to Have Problems Detach (Do Your Best, and Then Let Go) Ask for Help Respond With Action

22. Recovery-Prone Coping Style: RADAR Recognize Problem Respond With Action When Prepared Accept It’s OK To Have Problems Ask For Help Detach – Do Your Best, and Then Let Go

23. References Alcoholics Anonymous. Alcoholics Anonymous, 3rd ed., New York: Alcoholics Anonymous World Services, 1976. Gorski, T.T. Passages through recovery: An action plan for preventing relapse. Center City, MN: Hazelden, 1989. Gorski, T.T. Staying sober: A guide for relapse prevention. Independence, Missouri: Independence Press: 1986. Narcotics Anonymous. Narcotics Anonymous, 5th ed.. Van Nuys, CA: Narcotics Anonymous World Service Office, Inc., 1988. Abbreviations Used In Presentation: AA – Alcoholics Anonymous NA – Narcotics Anonymous PAW – Post Acute Withdrawal Syndrome: see Gorski, Passages through recovery: An action plan for preventing relapse, Gorski, Staying sober: A guide for relapse prevention COD- Co-Occurring Disorders QOL – Quality of Life