A mom on Allies in Recovery’s member-only site recently wrote in about her son who is constantly high, taking marijuana concentrate all day long. She describes him as a “master manipulator” and wonders how to reward someone like this…

This post originally appeared on our Member Site blog, where experts respond to members’ questions and concerns. To take advantage of our current special offer and get full access to the Allies in Recovery eLearning program for families, click here.

 

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“My son does dabs (marijuana concentrate) all day every day. It is almost impossible to tell when he is high. We have tried rewarding him for positive behaviors but we just can’t figure out when he is high. He does about 30 dabs a day. It has ruined his life and he refuses rehab (we live in Canada. Our province likes harm reduction and outpatient. There are only 3 rehabs in our entire province). He also will not buy into the 12 steps. I am sure on this.

What ends up happening is he gets rewarded while he is high. He is a master manipulator. The toll the dabs have taken is far reaching and highly concerning.

My question is ‘How do I reward someone when they are constantly high?’ I did the module on signs of drug use but in reality it is almost impossible to figure it out.”

Dominique Simon-Levine addresses this worrying situation of “always high” below:

Your son is always high. Marijuana can be an extreme drug, since its cost is low and its availability is great. Canada, like some states in the US, is legalizing recreational use, which just emboldens heavy users by making pot smoking even more culturally acceptable.

I can well imagine your son staying constantly high with pot to the point you can’t differentiate between straight times and high times.

Let’s apply the behavioral component of CRAFT to your situation.

Your son appears to always be high. Without confronting him, and asking or accusing him of being high, your best guess is that he is always high and there is no period when he is straight enough for you to reward.

The CRAFT approach says ‘when high, do the following three things’:

  1. Disengage
  2. Remove rewards
  3. Allow natural consequences

 

Here’s how applying these three principles might look.

1) Let’s take the first: Disengage. You and other family members would back away from your son. Leave him alone more often. Don’t engage him:

Have you been smoking? What would you like for dinner? Want to watch X together on TV? Are you high (or any configuration of this question)

Stop talking about drug use altogether—ignore him. Leave him to himself. As difficult as this sounds, keep it up as best you can. You won’t do it perfectly. The idea is to make him feel more alone in his world, unsupported by his family

2) Remove rewards: What more can you take away? Pocket change? A place at the dinner table? Laundry service? Half-hearted peppy comments?

3) Allow natural consequences: Let things in his life fall apart. Are tasks left unfinished? Is he late for something? Let it be. Is he over 18? Can you transition him out of the house?

The idea is to freeze him out. Any of these actions on their own won’t change the world, but taken together over time they isolate your son, they pair his use with family members disengaging, they signal that life is less good when using.

In the longer term, you might consider whether to continue providing the big rewards, such as lodging and meals, cell phone, access to a car…..

Removing rewards, disengaging, and allowing natural consequences are the three things under your control. The research shows that this affects behavior. The family needs to keep it up as best as they can and as consistently as they can, in the face of a loved one’s intoxicated state. Over time, this works.

 

It’s not easy to do, but this is what is under your control

While moments of not being high are currently rare or nonexistent, remain prepared to see one and to know how to react. This is covered in Learning Module 5, available to our members (view an excerpt here). Perhaps a scrunch on the back or an invite to go out for pizza. Keep in mind you are guessing about his state, not asking. You won’t be 100% sure and you may get it wrong, but that’s going to occasionally happen.

The question of the bigger picture and your part in it is worth repeating. If your son isn’t showing any signs of slowing down, then you are inadvertently supporting his use, with house, meals, etc. You are providing him valuable resources that subsidize his use, by increasing his discretionary income and making life easy and comfortable.

 

Marijuana needs to be approached like any other addiction

It’s serious and will disrupt any progress in your son’s life. Anything you can do to renew your energy for addressing it by turning up the discomfort in his daily life will be important. It is what you can do. It is what is under your control.

So to recap.  We suggest you back away by removing yourself neutrally, removing more resources as is possible, and basically leaving him alone to deal with any consequence that happen as a result of his use.

When you see use all the time, you want to try the principles of “when they are using” all the time (Learning Module #6 on our Member Site addresses what to do when your loved one is using).

Being a family member of someone struggling with addiction is long-term and demands a high degree of consistency when responding to it. This is not easy at all. You won’t be able to do it perfectly. That’s okay.

But sharpening up your stance, and getting other family members on the same page, is the goal.

Since 2003, Allies in Recovery has addressed substance abuse in families by providing a method for the family to change the conversation about addiction. We use Community Reinforcement & Family Training (CRAFT), a proven approach that helps the family unblock and advance the relationship towards sobriety and recovery and to engage a loved one into treatment. Learn about member benefits by following this link.

 About the Author:
Dominique launched Allies in Recovery in 2003. Her work has been featured on HBO and NPR. She is a facilitator and a trained speaker on issues of addiction and the family. She has worked extensively developing and evaluating federally-funded substance abuse programs for organizations and clinics throughout Massachusetts and New York. With an interest in recovery and substance abuse that spans 20 years, she sees a huge need to help families develop the skills that will help a loved one recover fully in a supportive, whole, and lasting way in their families and in their communities. Her mission is to have Allies in Recovery fill that gap.

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