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Coming Home

Dominique Simon August 10, 2022
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Our Podcast: Coming Up For Air

After any treatment, when someone is in early recovery, check your expectations. Your loved one is likely in a fragile state, uncomfortable, edgy, body wrecked after dependency, and dis-regulated physically and emotionally. On this episode of our podcast “Coming Up for Air”,  hosts Laurie MacDougall, Dominique Simon-Levine and Kayla Solomon talk about how your loved one coming home is a time of transition and encourage listeners to have realistic expectations. Be gentle, caring, and connected, not an inquisitor. Connection is key.

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Dominique Simon
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 to 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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Straight to Treatment After Jail? Do I Stick to My Guns?

Sometimes we can see the likely future: our Loved One returns to the shelter of home, hides away in their room, and simply doesn’t get the treatment they need to make progress with their SUD. Allies’ member HelenBo doesn’t want to see that happen with her son, who is struggling with heroin and other substances. What other housing options will he have upon release? As Laurie MacDougall writes, there are often more than we realize. At the same time, such transitions are critical moments for our Loved Ones. Having a list of specific housing and treatment options at hand—along with the CRAFT skills to communicate about them effectively—can make all the difference.

Laurie MacDougall June 11, 2024
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The Season of Expectations

Having expectations for others can be a difficult trap. When we have ideas about how things should go, we often try to manifest those expectations and have other people do what we want them to do. Instead, learn to manage your nervous system, to calm yourself and have tools to make requests of others. Be careful not to superimpose your expectations on others — it might not be what they want, need, or are able to do. That needs to be okay. Learn to give people room to create their own expectations for themselves.

Dominique Simon June 7, 2024

Cutting Him Off Entirely Isn’t the Answer—Is It?

We’ve all heard the argument: cut the cord. Let them sink to rock bottom. They’ve made their bed; now they have to lie in it. Recently, Allies member erinlewis was offered this sort of advice concerning her teenage son. Data and experience have shown that such an approach is usually the wrong one for our Loved Ones—but maintaining a connection doesn’t mean that anything goes. Laurie MacDougall walks us through a CRAFT-informed approach to self-care, boundaries, and the balancing act of connection and accountability.

Laurie MacDougall June 4, 2024
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Interview with Alex Ribbentrop

Alex Ribbentrop joins the Allies in Recovery hosts to discuss intergenerational trauma, substance use, the importance of family, and finding connection. Alex is a Licensed Clinical Social Worker, Qualified Supervisor, EMDR Trained Clinician, and Certified Family Trauma Professional, practicing in Virginia, Maryland, and Florida.

Dominique Simon May 31, 2024

Anger: Why Talking About It With a Purpose (And Not Just Venting) Can Be Healing

Anger evolved with the human brain. Though it may not seem so today, its original function was to keep us safe. Unfortunately, for most of us, anger is a deeply unpleasant experience, one that can damage our relationships and sense of wellbeing. The good news is that we can change this dynamic. This article offers a science-based guide to regulating anger and returning it to its constructive purpose.

rredick May 28, 2024

When Stepping Back Is the Best Help You Can Give

No one wants a Loved One to suffer. No one wants a Loved One to relapse. But in our worry about such possibilities, we can stumble into behaviors that stand in the way of change—behaviors that make problematic substance use easier for our Loved Ones than it otherwise would be. Fortunately, CRAFT can help us learn to offer support within our chosen boundaries: the kind of support that truly encourages progress.

isabel May 28, 2024
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Filling the Gap

How do you handle that difficult time when your loved one comes home from treatment, and is back in an old environment, complete with old triggers? It can be a time of depression and anxiety. Think about reconnection — being present and engaged, making things fun when you can, and using the CRAFT communication tools to leave doors open.

Dominique Simon May 24, 2024

About This Whole “Engage When They’re Not Using” Business…

If you’ve worked your way through Allies’ eLearning Modules, you’re already familiar with the concept: when our Loved One (LO) is using, we remove rewards and allow for natural consequences. When they’re not using, we reward them right away. But as member BRIGHTSIDE has been finding, the real-life timing can be a challenge. Laurie MacDougall reviews the fundamentals of this process, and shares ideas for getting creative when the lines seem blurred.

Laurie MacDougall May 21, 2024
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What Is Enmeshment?

Enmeshment is a blurring of the boundaries between people. How the other person feels affects you intensely. Enmeshment is one-way — your thoughts, feelings, and choices are about the other person’s well-being. Countering enmeshment means checking in with ourselves, calming our systems down, taking pauses, and allowing the other person the dignity of their own process. You can learn to listen and make reasonable requests and develop a healthier kind of connection.

Dominique Simon May 17, 2024

What Is Our Role? Underlying Feelings and Beliefs We Have About Our Loved Ones

Like many of us who have Loved Ones struggling with SUD, Allies member Binnie knows that trust is a delicate matter. Can we trust our Loved Ones to take care of themselves? Do we believe they have the capacity? Or do we think they’re so damaged that they can’t function without our stepping in? Isabel Cooney reflects on how trust is explored in a recent Allies podcast, and offers her own insightful take on this vital subject.

isabel May 7, 2024
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How Do You Handle Anger?

What’s the impact of emotions on how we interact with loved ones? Learn to acknowledge, claim, and identify your emotions. Don’t discuss anything when you’re reactive. Instead, pause, check in with your feelings, and don’t take things personally. Have a strategy that’s not confrontational or accusing, but engaging. Calm your system and engage in a way that you can feel good about. Hopefully this will reverberate with your loved one and create change over time.

Dominique Simon May 3, 2024

When Song, Faith, and Joy are Enough

The full name of the song is “Ndikhokhele Bawo,” which means “Lead me, Father” in Xhosa. These South African youths, assembled in their school’s courtyard, transform their place of learning into a concert hall with nothing more than the power of their voices. But it’s their spirit of joy and solidarity that lifts the beautiful into the realm of the sublime.

rredick April 30, 2024

Evidence From Oregon: Decriminalizing Drugs Can’t Solve Every Problem, but It’s an Important Step All the Same

Oregon has just rescinded Measure 110, the historic law that decriminalized possession of small amounts of hard drugs. But the reasoning behind the rollback is muddled. As guest author Christina Dent reveals, M110 took the blame for spikes in lethal overdoses, homelessness, and public drug use, none of which it likely caused. Rather, she argues that the law represented a small but important step forward. In the effort to end the drug crisis, its repeal is a loss.

rredick April 30, 2024
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Ah-Ha Moments

When the noise dissipates and there’s clarity, that’s an “ah-ha moment.” You can move forward in a different way. You might even find new commitment to a way of thinking or behaving that you didn’t have access to before. Allies in Recovery uses CRAFT to give you the tool set for your own ah-ha moments, but also to help create the conditions for your loved one to find their own moments and possibilities for long-term change.

Dominique Simon April 26, 2024

Learning About Depression. And Fighting Back.

Forty percent of Americans will suffer a major depressive episode at some point in their lives. Five percent of the world’s population is suffering from it at any given time. It’s a disease that’s too often misunderstood—when it’s not overlooked entirely. Recovery writer Annie Highwater offers this primer on the many forms depression can take, and the variety of paths available for dealing with it.

annieunhooked April 23, 2024

What Are the Three Questions?

When you’re in the middle of crisis, feeling reactive or uncertain about what to do, use the “three questions” to helps create space and time and take the best action. What am I feeling? What can I do about it (think as broadly as possible)? What am I actually gonna do? Kayla likes to consider a fourth: What’s happening that’s making me feel this way?

Dominique Simon April 19, 2024

Getting the Most Out of This Site

Personal trainers and the like are terrific—when they’re accessible. Unfortunately, individual counseling is still a rarity with CRAFT, despite its proven effectiveness. Allies in Recovery was created to bridge that gap. In this post, founder and CEO Dominique Simon-Levine outlines the many forms of training, education, and guidance that we offer on this website. We hope it helps you find the support you need.

Dominique Simon April 16, 2024
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What We Can and Can’t Control: It’s Good to Know the Difference

Erica2727 has a husband who’s working hard on his recovery, but his place of work concerns her. She would like him to consider various options, but isn’t sure about how to talk over such matters with him. Allies’ writer Laurie MacDougall offers a guide to a vital distinction: on the one hand, what we can and should seek to control; and on the other, what we cannot, and don’t need to burden ourselves with attempting.

Laurie MacDougall April 2, 2024
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How I Boiled Down CRAFT for My Teenage Kids

What can our children make of CRAFT? Allies’ writer Isabel Cooney has a powerful story to share—and some great thoughts for our community about opening a little window on the practice. As her experience suggests, CRAFT may have more to offer than a child or teen can truly take on. But young people may still benefit from an introduction to what the adults in their lives are trying to do.

isabel March 26, 2024
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Progress and Appreciation: A Letter From Holland

Danielle and her son have gone through a lot, individually and together. At Allies, we remember their years of struggle relating to his SUD. What joy, then, to receive this letter updating us on their situation. It’s the best news imaginable: Danielle’s son is clean and stable, and Danielle herself has widened the circle of support to others in need. Have a look at Danielle’s letter for yourself:

rredick February 20, 2024
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Eating Disorders: Myths, Realities, and Recovery Paths Explained

Finding a health professional who truly understands eating disorders is no easy task. And for those who suffer from them, it can be just as hard to avoid the judgments and unhelpful comments of friends, family, or coworkers. This interview with one of the world’s leading experts on eating disorders takes a broom to those old and stigmatizing ideas. It also offers pointers for standing by a Loved One suffering from an eating disorder.

rredick February 13, 2024

She Wants Another Round of Rehab. Should I Open My Wallet Yet Again?

Member Klmaiuri’s daughter struggles with alcohol and cocaine use. She’s also been through rehab seven times. The cycle—use, treatment, partial recovery, return to use—can feel like a cycle that never ends. Is there a way to be supportive while put a (loving) wrench in the gears? Allies’ writer Laurie MacDougall says absolutely yes. But it takes a commitment to learning new skills, trying a new approach, and lots of practice.

Laurie MacDougall February 13, 2024
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IFS: Embracing and Listening to Our Multiple Selves

“Most of the world’s problems arise from a misunderstanding about parts and burdens,” Dr. Richard Schwartz asserts. In IFS, which he founded, the “parts” are our multiple internal selves, and the burdens are the trauma and wounds they try to manage on our behalf. The simple but radical proposition of IFS is that these multiple selves arise for good reasons and have a lot to offer—if we can help them change with the seasons of our lives.

rredick February 6, 2024

“Get Me Out of Here!” Navigating Your Loved One’s Desire to Quit Treatment

This Discussion Blog post is a little different: a response to member Nohp’s question by way of a recent episode on our Coming Up For Air podcast. Nohp’s husband has struggled with alcohol for over a decade. Recently, when faced with the possibility of divorce, he entered a 30-day residential treatment program—and he doesn’t care for it much. After two weeks, he wants out. Nohp understands some of his concerns, but worries that he will start drinking again if he leaves. Our Allies podcast team has a message for her: Discomfort does not mean treatment is a mistake. Allies writer Isabel Cooney elaborates.

isabel January 23, 2024
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Welcome Home! Everyone Here Has Some Beef With You

Tradition is (at least partly) about honoring the past, and holiday traditions are no exception. But some aspects of the past we’d rather just leave there. Others, even years later, can still make us long for resolution. Last year, Allies writer Isabel Cooney received a request from her ex-husband, who struggles with alcohol use, to be with her, their daughters, and Isabel’s parents over Christmas. Her reply, and the experiences that followed, gave Isabel a chance to reflect on all that she’s learned and tried to apply concerning CRAFT.

isabel January 16, 2024
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How Much Should I Ask of Him Right Now?

Challenging emotions are natural, but that doesn’t make them easy to deal with. Our heavy feelings and ruminating thoughts can vastly complicate our efforts to support our Loved Ones. Allies’ member Nohp is trying to balance her husband’s treatment needs with feelings of guilt about past agreements between them. Laurie MacDougall offers some CRAFT-informed signposts through this forest of thought and feeling.

Laurie MacDougall January 4, 2024
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Tragedy Struck His Recovery House, And He Wants Out. What’s My Response?

It’s an all-too-familiar refrain: our Loved One doesn’t like the treatment program and wants out. Sometimes the reasons may seem valid, perhaps even overwhelming. In the recovery house where Cowgirl’s son is living, the house manager recently overdosed and died. The situation is utterly heartbreaking, but does it mean that Cowgirl’s son should leave? Allies Director Dominique Simon-Levine cautions that no choice about changing treatment is free of risk.

Dominique Simon January 4, 2024
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Handling the Holidays, Embracing Change

We’ve all felt the push-and-pull of the holidays. One impulse is to hold so tightly to “the way we do things” that we try to stop time in its tracks. Another, when the holidays produce stress or challenges for a Loved One, is to turn away completely. Laurie MacDougall reflects that there’s often a loving path between these extremes—but that path requires reflective listening, validating our Loved One’s feelings, and acceptance that some things will change.

Laurie MacDougall December 26, 2023
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I Want Him in Treatment. I’m Dreading That the Cycle Hasn’t Ended.

It’s a situation that occurs all too often: a Loved One enters detox when things get rough, but resists moving on from there to sustained treatment for substance use disorder. Often, they just want to come home—where continuing to use is easier than having to face the mountainous struggle of ending that use. It’s little wonder that such moments cause worry and anxiety. The good news is that we can take positive actions all the same. As Laurie MacDougall writes, these actions begin with calming and centering ourselves.

Laurie MacDougall December 19, 2023
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He’s Lost His License. And He’s Still Behind the Wheel.

Kathy4422 is facing some tough choices. Her son has just lost his license but is continuing to drive—on her insurance, in a car she owns. Does she step back and let him face the consequences of his choices? Does she intervene right away, and if so, how? Allies’ writer Laurie MacDougall points out that no one can make such decisions for us. But through seven thoughtful questions, she offers a guide to making them ourselves.

Laurie MacDougall December 12, 2023
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Needles In The Ear Can Help With Addiction? You Heard That Right

You’d be forgiven if ear acupuncture isn’t the first thing that comes to mind when talk turns to substance use disorder. Numerous studies, however, are documenting the efficacy of a specific procedure (the NADA protocol) for help with craving, withdrawal, and other aspects of addiction. As this article points out, however, the key to success with NADA lies in the details.

rredick November 14, 2023

My Loved One’s Breaking Our Agreement About Use at Home. What Should I Do About It?

After time in a recovery house—and agreeing in writing not to use while living at home—Carolyn P.’s Loved One has moved in with her. Much has been going well, but now the accumulating signs leave little doubt: they’re using again. Carolyn P. has been working hard to apply CRAFT to her situation. She worries, though, that her “watchful silence” might be counterproductive. Laurie MacDougall brings her back to a key, if difficult, CRAFT fundamental: boundary setting.

Laurie MacDougall November 14, 2023
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Dr. Gabor Maté: The Power of Addiction, the Addiction to Power

Across four decades of work on issues of trauma, addiction, childhood development, stress, and illness, Dr. Gabor Maté has become an internationally recognized thinker, author, and public speaker. But his brilliance is only one side of the coin. The other side, evident in all his remarks, is profound compassion. In this TED talk, both qualities are on full display.

rredick November 7, 2023

Rehab Was Great, but He Came Home and Stumbled. Now He’s Stopped Answering His Phone.

Residential rehab was a huge success for Highlander1’s grown son, but shortly after returning home the drinking started again. Now he’s taken off without a word and is refusing to be in touch. Naturally his parents are beside themselves. Allies’ writer Laurie MacDougall counsels them to start simply as they try to restore communications, to hone their own CRAFT skills—and to remind their son to focus on the success and not the setback.

Laurie MacDougall November 7, 2023
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Naming and Understanding the Symptoms of Childhood Trauma

Childhood trauma of any kind leaves its mark. Severe or sustained trauma generates certain telltale symptoms in survivors. Licensed therapist and life coach Patrick Teahan, himself a survivor of childhood trauma, breaks down three of the most prominent symptoms. By reaching a deeper understanding of what’s occurring inside us, he argues, we’re in a far better position to overcome the challenges that result.

rredick October 31, 2023

Using ChatGPT To Fight Depression: Some Creative Ideas

ChatGPT is not a living mind, let alone a therapist. It is, however, proving to be an immensely useful online assistant for people across the world. Little wonder that professionals and others are finding ways to apply its powers of information gathering and synthesis to the challenge of living with depression. This article offers one emotion expert’s tips on how ChatGPT and related technology might be able to shoulder a bit of that burden.

rredick October 24, 2023

What Am I Supposed To Do With This Anxiety?

Allies member Allisonc77 has some reasons for optimism: her husband, who struggles with alcohol, has recently stopped drinking, and let his old drinking buddies know he doesn’t plan to drink anymore. What he does plan to do is continue to see his friends. Naturally enough, Allison’s concerned that social pressure could lead him back to alcohol. But her question for Allies concerns her own behavior: she wants to know how best to manage her anxiety. Laurie MacDougall walks her (and us) through the fundamentals of a CRAFT approach to this question.

Laurie MacDougall October 24, 2023
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Dating Someone With Depression: A Brief Guide

More than one quarter of U.S. adults report having been diagnosed with depression at some point in their lives. The disease makes life challenging in all kinds of ways, and relationships are no exception. For partners of those suffering depression, the inability to “fix” the other’s condition can be difficult and frustrating. But even though we can’t cure our partners’ depression, we can learn skills that strengthen our relationships and make them more fulfilling for both parties.

rredick September 26, 2023

There’s A World of Options for Your Loved One

Jimw’s wife has contended with alcohol use disorder for many years and has engaged with numerous treatment programs along the way. She’s unemployed, and family debts are piling up. In his letter to Allies, Jimw describes what she’s already tried, and asks what other resources might be out there. Laurie MacDougall responds with a detailed discussion of the many options and where CRAFT comes into the picture.

Laurie MacDougall September 19, 2023
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Fentanyl Deaths In Communities of Color: A Crisis “Decades In the Making”

A new report from the Centers for Disease Control and Prevention reveals the unequal effects of the opioid crisis on Black, Native American, Hispanic, and white populations in the United States. Fentanyl deaths in particular have skyrocketed for all groups—but far more so in Black communities. Understanding the lasting effects of discrimination is essential, both for grasping the problem and seeking solutions.

rredick September 5, 2023

Our Loved Ones Need Us to Listen. Even (Or Especially) When Their Behavior Is at Its Worst.

When Sweets1997 and his family allowed their adult son access to their home while they were away, it was a simple act of love. They returned to a trashed home and missing belongings. It’s just the latest difficult chapter in an 11-year journey with their son’s addiction. But not all the signs are discouraging. Laurie MacDougall remarks on the points in this family’s favor, and explores in detail how focused listening and other communication skills can build a relationship of trust with our Loved Ones.

Laurie MacDougall September 5, 2023
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My Son Needs Care For More Than Just Addiction. Where on Earth Can I Find It?

Substance use disorder often occurs alongside other physical and mental health challenges, making a tough situation much harder and more complex. As frends2end knows all too well, finding care that takes our Loved One’s whole condition into account is one of the hardest aspects of such situations. That makes it doubly important to know the best strategies and options out there. Allies’ Dominique Simon-Levine shares some of her discoveries.

Dominique Simon August 29, 2023
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Let’s Talk About Treatment

The end goal of CRAFT is treatment, but what does that mean, and what does it look like? In addition to more-expected forms, treatment is anything that engages your loved one, that provides meaning and helps them look at themselves. What’s our role in presenting these options when a loved one says they’re ready to hear them? Do the research and put together a treatment list for when that time comes.

Allies in Recovery August 26, 2023

Borderline Personality Disorder: A Family Takes Its Caring to the Next Level

Borderline Personality Disorder (BPD) affects nearly 6% of Americans at some point in their lives, but research, treatment, and support for the condition lags far behind other serious mental illnesses. Paula Tusiani-Eng and her parents know first-hand what it’s like to live with, and eventually lose, a loved one suffering from BPD. Their story is remarkable not just because of those challenges, but because of what they decided to do next.

rredick August 22, 2023

When Setting a Boundary Is the Message We Need to Send

Introduction CRAFT teaches us to be thoughtful, caring, and deliberate in the messages we send to our Loved Ones. But sometimes the message is best conveyed without words. When we set boundaries, we also have to help our Loved Ones understand that they’re for real. As Allies writer Laurie MacDougall discusses with Adrexpert, managing our own thoughts and feelings is a necessary precursor to this sort of work, and so much else.

Laurie MacDougall August 22, 2023
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If My Loved One Commits To Treatment, Should I Ease Up on CRAFT?

Disengaging from a Loved One isn’t anyone’s idea of a good time. But doing so when they’re using is a basic (and proven) part of CRAFT—as is the opposite action, rewarding non-use. When a Loved One takes on the challenges that often attend the start of treatment, sticking to CRAFT techniques and principles is as vital as at any other moment. As Laurie MacDougall explains, the effort will likely be difficult, but it’s a key part of supporting them.

Laurie MacDougall August 9, 2023
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