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When Your Loved One Uses Several Substances

Our Podcast: Coming Up For Air

If your loved one uses multiple substances, our CRAFT experts suggest completing the “functional analysis” exercise to understand which substance to focus on first. On this episode of our podcast “Coming Up for Air”, hosts Laurie MacDougall, Dominique Simon-Levine and Kayla Solomon offer guidance for when your loved one uses not just one, but several substances. Start small, by changing your own behavior in response to your loved one’s use. Aim to shift over time. Study CRAFT modules 3, 5, and 6 closely to help make your plans. Listen in to this informative episode for further insight.

 

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Trust, Hope, and Expectation

When it comes to hope, trust, and expectation, what’s our part, and what’s the part of others? Hope is ours. It’s internal, doesn’t damage anyone, and is loose, open, and a way to stay positive. It’s also ours to accept — to say this is how things are and soothe ourselves. What not ours? Trust. It’s the other person’s job to become trustworthy for themselves. Expectations, too, are theirs — if we impose expectations on others, we set up failure

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.

Interview with Alex Ribbentrop

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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.

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.

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.

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.

What Are the Three Questions?

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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.

What Do “Using” and “Not Using” Really Mean?

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How Laurie and Kayla Became Part of AIR

Learn about Allies in Recovery’s (AIR) groups – the CRAFT Educational groups facilitated by Laurie and the CRAFT Support group facilitated by Kayla – and how they became part of AIR. CRAFT isn’t easy, and you can’t do it alone. These groups provide essential information, feedback and support.  You are not alone during this painful, overwhelming process.

Shall We Dance?

CRAFT as choreography? Our hosts step into the metaphor of a dance with your loved one. This isn’t a traditional dance – it’s a look at the steps to see what works and what doesn’t, to CRAFT a new dance and change your role. The idea is to learn new tools, practice them, and see where they fit in. Be patient. It’s a process.

Watching Families Progress

Our hosts discuss their joy in witnessing the progress of families in their groups. If you’re helping your loved one, start with yourself and your own healing. Healing is, Kayla says, not best done alone. And with Allies in Recovery, you don’t have to do it alone. You get to be part of a group of people doing the work, and get support not just for concepts, but for implementing the powerful tools of CRAFT. This is the work that can help your loved one.

Collaboration Vs. Ultimatum

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Denial? Or Ambivalence?

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How Do You Stop Catastrophizing?

If you find yourself swept away in the undertow of negative thinking about what might happen and how you might prevent it, the number-one tool to use is stepping back, noticing that you’re doing it. Number two is deciding to shift it, starting with “no negative talk.” And third is hitting the metaphorical “reset” button, finding something to soothe yourself. At first, it may not go well, but over time, you can get good at it.

Wishes & Dips

You’ve got tools — such as active listening, being curious and open. So, when your loved one expresses what they would like, or feels they can’t continue as they are, you’re ready. In those moments of “wishes and dips,” you can gently move forward, listening to them and having resources ready, for now or whenever they’re ready. It’s a main tenet of CRAFT — noticing the openings. It’s also a practice — something to stay with over time, so you have a chance to be received.

Here Come the Holidays – How Do You Deal?

Holidays. Winter. How do you deal? Start by shifting expectations about how things might go, and who might be there. Have conversations about “soft” expectations with your loved one in advance. Consider alternative plans, and take care of yourself. Stick with people who support you. How can you shift yourself, your belief system, and your behavior? Share duties, and consider an alcohol-free holiday, whether your loved one has any issue with it or not.

The Importance of Self-Care During Conflict

Times of crisis in conflict may seem like the worst times to practice self-care – yet in those moments, taking care of yourself is key to CRAFT. The more you learn to increase your awareness of your self and your reaction, the more you can successfully use CRAFT tools. If what you want to happen in those times involves your loved ones actions, it’s not likely to be successful.  Changing your actions and reactions, however, alters the environment and creates the possibility of change.

Speaking Up: The Compassionate Way

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Creating a Safe Space for Decision Making

You can help your loved one make decisions by creating a safe space — by listening, being genuinely interested in their perspective, being non-judgmental, and allowing them to slow things down to examine their own thinking. Avoid trying to fix things yourself, and assume that they’re wise enough to know what they need. Your role is to help them make their own choices.

How, Why and When to Put Yourself First

How do you take care of yourself when there’s a crisis with your Loved One? It’s a process of changing how you think about yourself and your role in the dynamic. If you can change how you think – even for small parts of the day – it changes the dynamic with your Loved One, allowing them the freedom to look at themselves, and not just worry about how they impact you. Hosts Laurie MacDougall and Kayla Solomon share tips on this episode of “Coming Up for Air”.

Answering Listener Questions

In interactions with our loved one, it’s important to be open to conversation and seek a way to be collaborative rather than making demands. In this episode of “Coming Up for Air”, our hosts discuss two listener questions: one about a partner who wants their debit card back and another about a friend who’s picking a loved one up from prison and wants to help them continue seeking recovery.

Motivation: What Drives Change?

Motivation drives change. How do you find motivation to change your part of the dynamic, and allow time and space for the process to unfold? It’s okay to sometimes feel like maybe things aren’t working, then get back on track. If you don’t know how to change, Allies in Recovery offers a toolbox. As long as you stay interested and use the tools, things can change.

What Is Radical Acceptance?

Radical acceptance involves understanding that much of what happens is out of your control, and using strategies to calm, distract, and soothe yourself. The goal is to avoid catastrophizing — envisioning and preparing for the worst outcomes. Radical acceptance means letting go of what you can’t control, experiencing feelings and pain, but without increasing agitation, reactivity, and suffering.

When Your Loved One Uses Several Substances

If your loved one uses multiple substances, our CRAFT experts suggest completing the “functional analysis” exercise to understand which substance to focus on first. Start small, by changing your own behavior in response to your loved one’s use. Laurie MacDougall, Dominique Simon-Levine and Kayla Solomon, the hosts of the “Coming Up for Air” podcast suggest aiming to shift over time and studying eLearning CRAFT Modules 3, 5, and 6 closely to help make your plans. Listen in to this episode for further insight.

Coming Home

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.

Unsolicited Advice: Helpful or Hurtful?

On this episode of our podcast “Coming Up for Air”,  hosts Laurie MacDougall,  Dominique Simon-Levine and Kayla Solomon talk about unsolicited advice. It’s smart to avoid giving unsolicited advice. If you receive it, hold your ground, knowing that you’re dedicated to upholding the CRAFT model. Consider telling the advice-giver to look into CRAFT to understand what you’re doing.

An Interview with Meme English

Guest Meme English, a former family therapist and consultant in the legal system, discusses family dynamics with hosts Kayla and Laurie. When it comes to substance use, family dynamics are complicated. There are many layers of trauma, from generational to personal, and competing needs among family members. Balancing all these factors and personal situations means deciding whose needs get most clearly met. Trauma therapy also requires time and commitment, and is harder to find since the pandemic.

The Antidote to Shame: Part 2

In Part 2 of this podcast series, “Coming Up for Air” hosts look at shame and negative thinking, discussing ways to slow down, gain awareness, and soothe your system. They focus on the essential tool of empathy — especially for yourself — as a way to understand what narrative you’re creating, and changing that narrative by looking for the positive even in the most difficult moments.

When Do You Work on Use of Less-Dangerous Substances?

Should the family now focus on their loved one’s cannabis use? Our hosts discuss harm reduction and the role of the “functional analysis” in CRAFT to address such questions. The analysis involves reviewing what’s changed, patterns and dynamics, and making sure your own behaviors support reduction of use. These actions are subtle, and their subtlety makes them more effective. Even with multiple substances, they recommend addressing one at a time. The functional analysis should keep happening with different drugs, so that you know which behaviors to reward and which to walk away from. The Allies site includes cannabis resources discussing withdrawal and tolerance, and the more-concentrated form of use called “dabbing.