Become a member of Allies in Recovery and we’ll teach you how to intervene, communicate and guide your loved one toward treatment.Become a member of Allies in Recovery today.

He’s In Treatment – It’s Time to Readjust Your Hopes & Expectations

woman head in hands despair
 

Allies in Recovery member 920Sunshine!!! has a Loved One who has just entered inpatient treatment. See the comment below. Dominique Simon-Levine addresses 920Sunshine!!!’s current expectations and reminds us all what to expect from a Loved One at the beginning of the treatment path.

I’m new to this site, so please forgive my lack of understanding.

My loved one is in rehab and is first to say he has a medical disorder – but I have yet to hear I am sorry for the emotional pain, the stealing, and the on-going lying. He has no accountability!

When he tells me he is “in jail” (rehab) because he’ll lose all contact with his kids and that’s the only reason he is there. I feel overwhelmed. I don’t feel that he is there to rehab for himself. I just don’t trust that this will work.

My sibling drives for a medi-taxi that often takes the clients to doctor appointments off campus and her clients tell her this place everyone just talks about getting high and the first thing they will do when they leave. This makes me quite nervous.

He has been in this facility for about 10 days – hoping for the best. He was able to call me about 3 days after he was in, and told me the treatment was 3-6 weeks depending on his case manager. He lives upstairs from me and I know that 3 weeks is not long enough, also in 2 weeks I’m leaving the country for about 2 weeks and feel that if he comes home and nobody is there he will be in the very same situation. Not that I controlled anything while he was using.

How would I keep him out of the house (my house) where he lives upstairs when I’m out of the country??? any suggestions???

He’s an expert at lying. I believed everything he ever told me. I did not know not to.

I went through his ‘stuff’ upstairs, removed all drug paraphernalia, tossed all the bullets – didn’t find a gun – but I’m almost positive that he has one in the many locked safes upstairs.”

By going to treatment, your Loved One is at the beginning of a process. It’s a process than can take time and builds in increments. It is way too early to expect from him the kind of deeper reflection, honesty, and communication skills that would lead to recognition, admission, and apologies for his past behavior. You can expect these things, but not yet. For now, he has gone into treatment. Good enough. It’s a huge step. Dig in and find the patience for the attitude change that will come.

The fear of losing your kids is one way to leverage someone into treatment. I would say that the majority of people entering treatment have mixed feelings about going to treatment. Willingness for most is clearly under 100%. There are studies that show that people mandated to treatment (losing your kids feels like a mandate to me) do as well in treatment as those who enter treatment more voluntarily.

So for now, put down the expectation that your Loved One will recognize how hurtful his past behavior has been. Be prepared for the treatment to be as successful as anyone else entering treatment. Since neither of us can predict the outcome of treatment, I suggest that you try to stay hopeful. It will change your day today for the better. Recognize the fear you are feeling. Neither the hope nor the fear will change much in terms of your Loved One’s outcomes, so why not choose to swing harder towards hope.

Your Loved One can walk into that treatment center and decide he is going to listen to what is said and participate wherever possible. There may be people getting high in the parking lot, and he can decide to ignore it because he wants his children in his life, and is willing to strike out in a new way TODAY, even if he’s not 100% convinced.

Learning Module 7 provides a list of ways we pull ourselves down through distortions in our thinking. Becoming informed by going through the modules and exercises, and looking at how our thinking can be dragging us down as well, will help you get on better footing when thinking about your Loved One.

Length of treatment should be long, 6-12 months of extensive treatment, stepping down from inpatient, where he is now, to community programs when he goes home. If home is not safe from using then community services should include a three-quarter or half-way house or some other form of transitional living.

Will your Loved One sign a release so that you can participate in the aftercare meetings? The rehab team, you, and your Loved One all need to be organizing the next steps. You want to make sure this is happening and provide any support possible to make this happen.

If you do not want him home when you are not home, tell the program. Tell him as well.

If you no longer want him to live with you, tell the program and your Loved One. The aftercare will need to include housing. This is the hardest part, so tell them now and push hard. Even if he will not sign a release, you can tell the program that he is not welcome home until your return from your travels, or at all. He is essentially homeless.

You have lived a long time with someone who has acted ungrateful and someone you couldn’t trust. You are worried about your home. We have written posts on this blog about housing. Here is a link to one.

Your Loved One is in treatment. Regardless of his level of motivation for that treatment, he is showing signs of wanting to change and address the drugs. In one post we talk about setting up a day bed in a common space, with a foot locker for his things, and making that the “housing.” Turn the upstairs into a yoga room or an art studio. He gets to sleep on the day bed when he’s sober, otherwise you would ask him to respect your home and stay away until he is no longer high. Your home is a reward that your Loved One gets access to when he is not using.

Thank you for writing in, Sunshine. Your experience is important and many family members have similar concerns as their Loved One enters treatment.

Loading

Related Posts from "Discussion Blog"

What Do We Have to Look Forward To?

Supporting a Loved one with SUD means different things to different people. Meggie, for example, comes from a family that’s confronted the disorder through “tough love”—leaving the Loved One to deal with their addiction entirely alone. This never felt right to Meggie, who wanted to fight alongside her husband for his recovery. When she discovered CRAFT, she soon realized it was designed to help her do just that. Nonetheless, thoughts of the future still leave her anxious. What if he’s in and out of jail for a long time to come? Isabel Cooney reminds us that so much depends on what we tell ourselves about both the present and the possible future.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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:

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.