Awareness Month Feature Article by “The Fix” Explores The Topic: ‘AA Is not an Evidence-Based Treatment’

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AUTHORS NOTE:

“I am in no way demeaning or saying that The 12-Step Program and model is not a form of treatment, nor that it doesn’t help people recover from drugs, gambling, or alcoholism.  But more and more articles like the one I am sharing today and hearing many people talk about needing and wanting MORE than 12-steps to reach long-term recovery and have a well-balanced path from ADDICTION.”

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So please don’t leave me nasty comments as to such. What I am exploring is a more in-depth look into having “Wellness in Recovery.” Many are now searching for ways to obtain treatment AND learn the much-needed skills and tools to begin the “inner work” needed to a well-balanced recovery without relapse or slips in the process.

Let’s face it, if we teach new addicts coming into treatment BOTH, we just may cut relapse percentages in half or more and would mean MORE NEW addicts would be getting the help they need as well.

There are many ways to go about it this.

One new exciting way I have been using and venture I am involved with is for those working in the “treatment side and facilities” and those looking for recovery “AT HOME Recovery.”  Learn more about “Wellness in Recovery” and “Oak Valley Productions Educational DVD Series.” It is a fresh approach to having a well-balanced journey, learn to begin and process the underlying issues that may have you turned to addiction, and learn to release and let it GO!

It will help guide you on how to begin your “inner work” as you learn the educational side of recovery from addiction! See all the details of this non-12 step recovery series and have  “Recover in Wellness” of mind, body, soul and Spirit!

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FEATURED ARTICLE: AA, GA, NA, Is not Evidence-Based Treatment by, Laurel Sindewald 03/16/17

“Researchers have not been able to methodologically eliminate self-selection bias or utilize adequate controls in their studies of 12-step groups and Twelve-Step Facilitation.”

When I read Facing Addiction in America: The Surgeon General’s Report on Alcohol, Drugs, and Health, I was surprised to see Twelve-Step Facilitation (TSF) included as an evidence-based behavioral treatment for addiction. I had just done a literature review on the efficacy of 12-step-based interventions and found the evidence insufficient to support the prescription of 12-step groups as treatment. TSF is a standardized form of therapy where professional counselors try to engage their patients in participating actively in 12-step groups, in part by emphasizing 12-step philosophy during therapy sessions.

Twelve-step philosophy stipulates that addiction is a spiritual disease born of defects of character and that 12-step groups are the only cure, involving faith in a higher power, prayer, confession, and admission of powerlessness. In contrast, the National Institute on Drug Abuse (NIDA) defines addiction as a disease of the brain – a medical condition requiring medical treatment. A spiritual disease concept is not the same as a medical disease concept. Twelve-Step Facilitation treats addiction as a spiritual and biopsychosocial disease, retaining the spiritual emphasis of 12-step philosophy.

TSF was classified as a professional behavioral treatment in the Surgeon General’s Report. How can a professional, medical treatment be based on a definition of addiction as a spiritual disease? Baffled, I knew I would not be able to understand if I got stuck in bias against Twelve-Step Facilitation. I had studied the research on 12-step groups, but had only dipped my toe into the research on TSF. The Surgeon General’s Report cites hundreds of studies, and over a dozen in support of TSF. So, I did what all good scientists must do: I set aside my bias, knowing that if I want the truth, and I must assume first that I am wrong and dig deeper.

I conducted a preliminary literature review to investigate the effectiveness of TSF as a treatment, and then examined each of the sources the Surgeon General’s Report cited in support of TSF. I looked at the methodology, results, and conclusions for each. In this article, I define “evidence-based” to mean any treatment supported by numerous scientific experiments with rigorous methods that include control groups, randomization of patients to treatments, and bias-free samples. I use “12-step approaches” to refer to all 12-step-based rehab programs, TSF, and 12-step mutual help groups.

The key to understanding research on TSF is to know why the treatment was created in the first place. Researchers had documented a correlation between 12-step group attendance and abstinence, but correlation is not causation and research had been limited in several ways:

  • Studies evaluating the effectiveness of 12-step groups could not eliminate self-selection bias, which happens when group members are not randomly selected and participants opt in or select themselves, creating biased samples. The people participating in the studies had chosen to participate, and researchers could not determine whether successes observed were due to 12-step participation or qualities in the self-selected participants, such as greater motivation to enter recovery, more resources, or greater receptivity to messages of God, faith and/or acceptance. The people who chose not to participate, or who dropped out of the study, were not always accounted for. Researchers could not determine whether the correlation they observed was due to the treatment or to the characteristics of the people participating.
  • Twelve-step groups have no standardized methods or conditions. Leaders of the groups are often laypeople in recovery from addiction themselves. The quality of social support in the group depends on the people who are participating. The literature is interpreted by the members, who create their own cultures around the interpretation. Twelve-step cultures also pass around other information and advice, which may or may not permeate every group. Each sponsor is a different layperson in recovery from addiction, with different character traits. Researchers could not control for all of these variables all of the time.
  • Researchers struggled to maintain rigorous control groups throughout studies. At a minimum, to determine whether 12-step groups have an effect, researchers needed a no-treatment control group for each study. Ethically and logistically, they could not prevent people in the control groups from receiving treatment or from attending 12-step groups.

 

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Twelve-Step Facilitation was developed by researchers working on Project MATCH, a well-known and extensive study funded by the National Institutes of Health. Project MATCH compared TSF to Motivational Enhancement Therapy (MET) and Cognitive Behavioral Therapy (CBT), seeking to establish what patient characteristics corresponded with the best results for each treatment. The study found there “was little difference in outcomes by type of treatment” based on the primary outcome measures of percent days abstinent and drinks per drinking day.

By standardizing methodology for TSF, Project MATCH made some headway on strengthening the quality of evidence, but they did not find a way around self-selection bias and they did not have a control group. Many patients, however, did drop out of the assigned treatments early on in the study. Two researchers later examined the outcomes of the zero-treatment dropout group, and found that “two-thirds to three-fourths of the improvement in the full treatment group was duplicated in the zero-treatment group.”

This means that the people in Project MATCH’s treatment groups did not have significantly better abstinence outcomes than the people who dropped out of the study. Importantly, we do not know whether the dropout group sought treatment on their own, and it seems probable that they did. Based on their analysis, none of the interventions in Project MATCH seem to be effective, but without an actual control group, the results are equivocal regardless.

Some researchers have sought to re-analyze other parts of the Project MATCH data, but their findings, while supportive of TSF, are subject to the same methodological limitations of the parent study. Many other studies cited by the Surgeon General’s Report seem to support TSF as effective for improving abstinence outcomes and/or for relatively increasing 12-step participation compared to treatment as usual (TAU), but none of these studies had control groups. The Surgeon General’s Report cited one source in support of TSF that was actually an article reviewing information about 12-step programs to educate social workers, not an experimental study. The Report also cited a study in support of TSF that examined two active referral interventions, 12-step peer intervention (PI) and doctor intervention (DI), compared to no intervention (NI). The study found that while the active referral interventions significantly increased participation in 12-step groups compared to no intervention, “abstinence rates did not differ significantly across intervention groups (44% [PI], 41% [DI] and 36% [NI]).”

This study was the only one cited in the Surgeon General’s Report in support of TSF that approximates a control group, and it does not actually support the efficacy of TSF in increasing abstinence outcomes. The NI pseudo-control group still received a list of 12-step group meeting times and locations, but was not encouraged to attend. The PI group attended meetings twice as much as the NI group, and yet the researchers found no significant difference in abstinence outcomes. The DI group, essentially TSF, was less effective than the PI group at increasing attendance, and again, did not significantly improve abstinence.

My own literature review turned up articles the Surgeon General’s Report did not reference, both in support of TSF and not supporting TSF, but none of the studies I found had control groups either. Results of my literature review, including my assessment of the Surgeon General’s report sources, were therefore as ambivalent as the 2006 Cochrane Review, a systematic meta-study of all 12-step-based programs that found “No experimental studies unequivocally demonstrated the effectiveness of AA or TSF approaches for reducing alcohol dependence or problems.

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In medical science, if a treatment is ineffective or faces prohibitive methodological challenges, the treatment is either revised or abandoned. Twelve-step philosophy prohibits either approach. Twelve-step literature is comparable to the Bible for Christians or the Qur’an for Muslims; if the literature is removed, the identity of the group goes with it. The same basic text has been used for AA since the publication of its “Big Book,” Alcoholics Anonymous, in 1939. Twelve-step literature also explicitly states that “Those who do not recover are people who cannot or will not completely give themselves to this simple program, usually men and women who are constitutionally incapable of being honest with themselves.

There are such unfortunates. They are not at fault; they seem to have been born that way. They are naturally incapable of grasping and developing a manner of living which demands rigorous honesty. Their chances are less than average.” Twelve-step philosophy, by taking this position, is asserting that its methods can never be wrong. If the 12 Steps do not work for people, 12-step philosophy explicitly states it is their fault, and that the fault is inborn and irreversible. The 12 Steps and attendant literature, however, are not modified.

Research does support the concept that changing “people, places, and things” and finding a network of people with a culture of abstinence can improve chances of recovery. However, mutual help groups other than 12-step groups do exist that may provide the social support needed by people in recovery. People who are not religious may be able to make 12-step groups work for them as social support if they have no other choices, but other options will most often be available.

A study in 2001 by Humphreys and Moos found that TSF may reduce health care costs for people in recovery by emphasizing reliance on free 12-step groups, as opposed to cognitive behavioral therapy. Yet their conclusions that the study indicates people should be diverted from CBT to TSF because it is ultimately cheaper amounts to advocating malpractice. TSF itself is not free and is not decisively supported by evidence; twelve-step groups, while free, are not evidence-based treatment, and other available mutual help groups are equally free options for social support. Even if TSF were demonstrably effective at promoting abstinence for some people, 12-step philosophy is heavily spiritual (specifically Christian-based) so it would be unethical to recommend TSF simply because it might save money.

After exhaustive research, I assert with confidence that 12-step approaches are not evidence-based treatments. They may be strong recovery support for people to choose in addition to a medical treatment plan, but 12-step approaches—including TSF—are not established as evidence-based for treating addiction.

Due to the methodological limitations identified in this article, I question continuing to spend thousands of dollars, hundreds of hours, and invaluable expertise on researching a spiritually-based treatment for addiction that cannot be proven to be effective for most people most of the time compared to “spontaneous,” or natural, remission rates. It is time to relegate 12-step approaches to the realm of recovery support services (RSS, as defined in the Surgeon General’s Report), and allocate our research resources to promising treatments that can be studied rigorously and without such crippling methodological limitations.

** Laurel Sindewald is a writer and researcher for Handshake Media, IncorporatedAnne Giles contributed to this report. ** 

 

Teen Gambling and Addiction. Addicted Gambling IS Reaching Our Youth! “Problem Gambling Awareness Month.”

It can be a ‘hidden addiction’ when it comes to youth. You cannot see it in their eyes, or smell it in their breath and there are no scars on their body. However, problem gambling can be seen as the ‘gate way’ to several high-risk behaviors and problems. Gambling is a serious addiction and has […]

9 MAJOR CONSEQUENCES OF YOUTH PROBLEM GAMBLING — TEENS AND THEIR FRUIT MACHINES ….


RECOVERY Guest Post ~ Courtesy of ‘Teens and Their Fruit Machines’ Australia….And It IS Happening In The USA.”

About

Teens & Their Fruit Machines is a campaign aimed at raising awareness towards the increase in problem gambling, amongst our youth.

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“It can be a ‘hidden addiction’ when it comes to youth. You cannot see it in their eyes, or smell it in their breath and there are no scars on their body.”

However, problem gambling can be seen as the ‘gateway’ to several high-risk behaviors and problems. Gambling is a serious addiction and has damaging effects on not only the victim but also their family and friends.  With all of the statistics telling us how many young individuals are affected by this addiction, it’s important to recognize the consequences and problems they face from gambling.

Teens who gamble have higher rates of:

  1. Bankruptcy/ money problems

An average problem gambler loses around $21, 000 per year. Some poker machines can allow a gambler to lose more than $1, 500 in just one hour. In Australia, young people (18-24 years old) spend more money on poker machines than any other age.

  1. Absenteeism from school and early drop-out

This includes poor academic performance and loss of motivation.

 

  1. Housing crisis and homelessness

Whether it’s through financial problems, due to money lost from addiction, or family members kicking young adults out for their problem, homelessness is a common link to gambling addiction.

  1. Substance abuse

This involves alcohol, tobacco, and other drugs. Problem gamblers are four times more likely to have problems with alcohol and four times as likely to smoke daily, than non-gamblers.

  1. Suicidal ideation and suicide

Problem gambling can lead to feelings of helplessness, as youth feel they have nowhere else to turn. Only 15% of problem gamblers seek help due to stigma, leading them to face the issue on their own.

  1. Mental health issues

This includes anxiety, depression and anti- social behavior.

  1. Criminal behaviour

A higher rate of illegal activity such as robbery, in order to fund their addiction and financial difficulties perpetuated from their problem.

  1. Disrupted family and peer relationships

For each problem gambler, it is estimated that 5-17 other individuals may be affected by their addiction. This could include emotional impacts such as guilt, arguments, disapproval and disruptions to family life.

 

 

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TOP WAYS FOR YOUTH TO GAMBLE ~ What Are They Betting ON?

Scratching tickets, playing cards or watching horses, whatever it is, young people gamble in many ways.

But whether it’s Keno or backing a Bachelor Winner on Sportsbet,  what are our young actually gambling on? Well in the US they are placing BETS ON:

Poker Machines:

 Don’t let the bright lights fool you! If I haven’t said it already, these fruit machines are dangerous! Around 4% of age youth regularly play poker machines, with 15% of people who play being problem gamblers. If it couldn’t get any worse, young people aged 18-24 spend more money on these machines, than any other age group. Poker machines are by far the most problematic form of gambling for college age group.

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POKER/Cards: A Must Read Story – Teens and Poker The Guardian

 
Steve learned the basics by stacking “play money'”  at “Poker school’ sites run by the big online poker companies alongside their gambling sites. Within a month, he was betting cash. “I just typed poker into Google and started playing on the first sites that came up. I deposited money using my own debit card and just registered using a fake date of birth.”

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So, 18 months on, is he winning? ‘Oh yes, definitely, in the long run, but you can have huge swings each week. This week I lost $2,000 [online poker is denominated in dollars], but the week before I won $3,000. Poker’s all about skill in the end and I’ve taken the trouble to learn the game.’ Steve intends to postpone university for a year to play ‘full time’ for ‘five or six hours a day.”

BUT?

The number of High school-age and College students calling gambling helplines in America has doubled in the past two years. Ed, who runs a helpline for the New Jersey Council on Compulsive Gambling, blames internet poker. “I have been in this field for 30 years and I’ve never seen anything as crazy as this,” says the reformed gambling addict. “It’s much like when crack cocaine came out in America in the Eighties. Internet gambling is something right now that you almost can’t stop.”

Two years ago, Paul, a 17-year-old from New Jersey, stole his father’s American Express card to play online poker. Within a few weeks, it was $10,000 into the red. He hoped to win it back before his father found out, but was forced to confess when the bill arrived: his father had to pay up. Paul says the lure of the 24-hour online poker rooms was irresistible: “There was no real age verification or proof of anything needed to play.”

THAT’S THE PROBLEM!

 

 

Sports Betting & More of Internet Gambling:
Sports’ betting is the fastest growing form of gambling around the world. A study by the center for Gambling Education and Research at Southern Cross University, reported a 70% increase in individuals presenting to gambling help services with sports –betting problems in 2009. Not only this but now online gambling! And is now worth an estimated $30 billion. And online poker is estimated to be worth $6 billion annually in the US alone, as the Justice Department has apparently opened the door to internet gambling by reversing their longtime position that online poker and betting was illegal.

 

 

 

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You can pretty much bet on anything on the Internet today! With the increasing accessibility of the Internet around the world, young people have the ease of gambling from the comfort of their own home or dorms.  Not only that but young people can access betting sites from their tablets, smartphones, iPods, laptops and whatever new gadget appears in the store.

In other words, the betting environment has changed, and the breadth and intensity of engagement with the gambling industry and following with it. Not to mention gambling advertising, which swarms our online news, and news feeds!  Last week, I was offered to make a bet on The Bachelorette winner!

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Let’s face it, parents, now YOU need to add gambling and the dangers of how easy they can start to have a problem with it or even become addicted when you have “the talk” with them about drugs and alcohol.

 

Some stats from Center on Addiction say’s “that with most types of addiction, perceptions of who’s at risk for a gambling problem are often wrong. The most recent available data indicates that 2.1 percent of U.S. youth aged 14-21 engage in problem gambling – virtually the same percentage as adults with the disorder. Two-thirds of youth reported gambling in the past year and 11 percent said they gambled more than twice per week.

 

Though it’s hard for teens to access casinos, online and at-home betting is another way for adolescents to gamble, making it difficult for adults to monitor or detect. Like substance use and addiction, most adults who have a problem with gambling began during their teenage years.”

 

 

 

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** Presented by “Recovery Starts Here! – Author/Columnist, Catherine Lyon” **

 

 

    

New Author and Recovery Visionary Book Spotlight. Meet Dr. Jane Galloway, and her book ~”The Gateways: The Wisdom of 12-Step Spirituality.”

New Author and Recovery Visionary Book Spotlight. Meet Dr. Jane Galloway, and her book ~”The Gateways: The Wisdom of 12-Step Spirituality.”

“The Gateways are… A Gateway, a bridge, an opening into living the Spiritual Life that the Steps promise!  What you get from this are Tools, Inspiration, and time to release the Shame and move into the FREEDOM.”   ~Dr. Jane Galloway, Author

When I first heard of Author, Jane Galloway, and her new book, I read the passage above within the book’s description and I immediately thought about how broken, dark and empty I was when I first came into recovery. It was like stepping out of the darkness and into the light of spiritual freedom. Now, half way through reading Jane’s book, that is what you learn and so much more in this book. Here is more about her book…

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About The Book:


Is there more to recovery than just staying sober and clean? Dr. Jane Galloway offers an emphatic “yes” to this question in her groundbreaking 12 Step companion guide, The Gateways: The Wisdom of 12-Step Spirituality. Galloway presents the 12 Steps squarely in the context of 21st-century spirituality with breadth, skill, and sensitivity that helps readers of any faith (or of none) experience a profound spiritual awakening.

Too many recovery programs fixate on the sickness of addiction and, as a result, trap people in a pathology-centered mindset. Jane Galloway’s strength-based approach suggests “Rather than obsessing on what is ‘wrong’ with a person, learning what is ‘right’ with them may hold the key to understanding.” Incorporating ancient developmental systems like Chinese meridians and the Kabbalah Tree of Life, as well as more recent psychological systems like Maslow’s Hierarchy of Needs and Erik Erikson’s Eight Ages of Man, Gateways presents 12-Step Spirituality as a Wisdom Path. Galloway’s 12 corresponding Gateway Essences unlock the power of the Steps through spiritual practices and rituals that make up a customized, holistic Mind, Body, Spirit tool kit.

As a 30+ year member of Alcoholics Anonymous, ordained pastor and Doctor of Ministry and accomplished stage and screen actor, community organizer, the Rev. Dr. Jane Galloway brings a woman’s voice to the chorus of men who have previously spoken on 12-Step spirituality. Her work is inspired by and devoted to AA’s founding spiritual vision as it appears in “The Big Book “To us, the realm of Spirit is broad, roomy, all inclusive; never exclusive or forbidding to those who earnestly seek.”

The Gateways opens wider vistas to the deeper wisdom within us all. Her book published September 2016 by Sacred Stories Publishing, is a beautiful companion guide for a lifetime of mind, body and spirit strength-based healing while using the “reflections on the principles of 12-step spirituality.” Her book is available on Amazon.comBarnes & Noble, and Sacredstoriespublishing.com in both E-book and Paperback.

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About The Author:

Jane is a multifaceted, dynamic woman who has over 30+ years of experience with working, living, teaching and practicing the 12-Steps. A Claremont School of Theology Doctor of Ministry, Jane has extensive experience serving as a minister, community leader, keynote speaker, and strong advocate of the Arts. In addition to her accomplished career as a stage and screen actor, Jane has emerged as a thought leader of the 12-Step spiritual revolution, with the publishing of “The Gateways.” Just the ‘tip of the iceberg’ of all she does for so many who are looking to recover in wellness, not illness, in heart, soul, mind, body and spirit.

Working and living on both coasts, Jane is the Founder of T.R.I.B.E a model dedicated to building community and raising consciousness through ‘radical expression of Art,’ Psychology, Spirituality, Education, Community, Urban Design, Social Justice and Critical Thinking. She is a compassionate, yet dynamic voice for equality and reconciliation in her community and beyond, with a passion for creating bridges between cultures.

Jane is also a painter, designer, and gardener and loves the Southern California climate for growing lavender, flowering cactus, fruit trees and more. A lot of her inspiration comes from working in nature and seeing how things grow in the right soil….a wonderful metaphor for life. Her heart and passions include empowering women, advocating for recovery from childhood trauma, and getting “The Arts” to children.
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Now let us meet Dr. Jane Galloway ~ Founder and Leader of a Spiritual Community in Los Angeles, and T.R.I.B.E.

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What is TRIBE?

It Is: Transformation/Realization/Inspiration/Belonging/Expression.
From California to the urban center and launched in New York City, it has expanded as an umbrella for social practice art beyond one city.

Jane is a visionary leader dedicated to building community and raising consciousness through radical expressions of Art, Psychology, Spirituality, Education, Community, Urban Design, Social Justice and Critical Thinking. She is a compassionate, yet dynamic voice for equality and reconciliation in her community and beyond. Her passion is creating bridges between cultures, and also connecting people to their own deepest calling.

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“All of the years on my path have come together in this new and unique endeavor of integrating art, the spiritual path, emotional health, creativity, and purpose. We are birthing this T.R.I.B.E. in Harlem, where deeply culture- transforming ventures have found fertile ground for more than a century. We are not gentrifiers, but rather grateful appreciators of the presence of the wisdom of the ancestors, who are present here.”

Jane states she has come to believe that artists are uniquely positioned to speak the world into a new reality. “We are all capable of being Artists by Intention, whatever our profession, creating the conditions for people to TRANSFORM- First themselves and then the world.”

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Gatherings can include performance, visual art, and film combined with depth teachings from wisdom texts, psychology, art theory, and literature. These elements, along with meditation and dynamic conversation with the participating artists, combine to create the conditions for dramatic and ongoing awakening and renewed purpose.

Jane is a life-long artist; painter, writer, singer, designer, actor, director, producer. During a thirty year award winning career as an actor, she starred on and off Broadway, in regional and European theater, film and television, founded an Arts Education Nonprofit, h’ARTworks, in Southern CA, has also worked as a Drama Therapist, and college professor. She has also received professional awards and civic commendations for her work as a minister, community leader, and arts activist.

In the darkest days of the AIDS Epidemic, Jane followed a calling to pursue Higher Education and Ministry, to try to be a part of the solution in a more direct way. She was awarded both Master’s and Doctoral degrees in Ministry from Claremont School of Theology in CA and became an ordained Minister through the African Methodist Episcopal Church. She studied under the brilliant New Thought philosopher Eric Butterworth in NYC for ten years.

In her ministry, Dr. Galloway utilizes depth teachings from world religions, indigenous wisdom, and New Thought teachings, combined with art and cross-cultural conversation to inspire a universal realization of Oneness.

You can connect with Author, Dr. Jame Galloway on social media and visit her website today:

Jane’s Website
T.R.I.B.E.
On Facebook
Twitter
GoodReads Author

 



About Gambling Addiction and Does Self-Ban From Casinos Work?

We all know that old saying; “if want something bad enough you will find a way to get” and that is certainly true when you are talking gambling addiction.

So, you decide you are going to “BAN” yourself from a casino so you can STOP GAMBLING. Well, does this really work? Well, not from my personal ridiculous experiences . . . .

But first, shouldn’t we be educated about a what gambling addiction is? And is it really just fun and games? For many affected, NO, it is not and they will try anything to STOP!

 

WHAT IS GAMBLING ADDICTION?

Here is what my good friends of the National Council for Problem Gambling  define’s this addiction.

Problem gambling–or gambling addiction–includes all gambling behavior patterns that compromise, disrupt or damage personal, family or vocational pursuits. The essential features are increasing preoccupation with gambling, a need to bet more money more frequently, restlessness or irritability when attempting to stop, “chasing” losses, and loss of control manifested by continuation of the gambling behavior in spite of mounting, serious, negative consequences. In extreme cases, problem gambling can result in financial ruin, legal problems, loss of career and family, or even suicide. And again, have no sense or fear of consequences from the destruction they are causing.

Isn’t Problem and Addicted Gambling a Financial Problem?

No. Problem gambling is an emotional problem that has financial consequences. If you pay all of a problem gambler’s debts, the person will still be a problem gambler. The real problem is that they have an uncontrollable obsession with gambling. But, in order to recover, the gambler needs to be willing to accept and surrender to the fact that he or she is in the grip of a progressive illness and has a desire to get well and stop gambling.


Isn’t Problem Gambling Really the Result of weak or financially irresponsible people?

No. Many people who develop problems have been viewed as responsible and strong by those who care about them. Precipitating factors often lead to a change in behavior, such as retirement or job-related stress.

The number one gambling addiction fact that you should know is that gambling is NOT just a financial problem. Some problem gamblers do not have financial issues even though they may lose money gambling. Gambling is an emotional issue where a person feels the need to gamble to alleviate stress or because they feel a certain type of euphoria when they gamble. Gambling is an obsession that can take over your life if you let it go too far, this can lead to the loss of relationships, jobs, and, yes, finances, but the issue behind compulsive gambling is not financial, it is emotional.


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For me, gambling became a way for me to cope, escape, and numb old feelings that came back to haunt me of what I went through as a little girl in my early childhood, then into a teen and on into adulthood. And even though 12-Step programs and support tell us we can arrest the addiction and recover, I myself disagree from a “treatment” standpoint. In order for me to reach full recovery, I had to process all the “old” in a healthy manner of all the uderlying issues before I was able to grasp a well-balanced recovery and make it into long-term recovery.

As I am a firm believer in doing the “inner work” within ourselves is just as important as learning the skills, tools, and being educated about the disease. So I do 12-step meetings, but I do them for support and to be with others who understand this addiction and be of service to others.

IF you think you have a gambling problem? I always suggest to people that a great place to start is to stop by  Gamblers Anonymous ~ 20 Questions and answer HONESTLY their 20 Questions and it will give you a good view if you have a problem and need help.

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Now About Self-Banning or Self Exclusion: What Is This?

Now keep in mind, each STATE in the US may have their own rules and policies about this option to help someone stop gambling and harm. So for an example, I currently live in the State of Arizona so I will share this STATE’S options as there as Indian Tribe Casinos all over this state, so people have many options and ACCESS to GAMBLE.

Here is what my friends at Arizona Dept. of Problem Gambling say about  Self Ban:

Self-Exclusion or Self-Ban is a process that allows a person to request to be banned from all Indian Gaming Facilities within the State of Arizona and to be prohibited from collecting any winnings, recovering any losses, and the use of any of the services or privileges of the facility.  You can choose either a one-year, five-year, or ten-year exclusion.  This exclusion is irrevocable and cannot be altered or rescinded for any reason during the selected time period on the form.

How Do I Exclude Myself?

There are a number of ways you can go about excluding yourself. You can download the exclusion form found on this site, fill it out, have it notarized and mail it to the Department of Gaming along with a current photo of yourself. Please note: The self-exclusion will not be processed without proper notarization and a current photo. We can accept the photo electronically via email but we must have the original, notarized self-exclusion form sent to this office.

You may also come to the office to complete the entire self-exclusion process which includes meeting with the self-exclusion administrator who will discuss the program, notarize the form and take your photo as well as give you additional resources for problem gambling.

Please click on the FAQ link to the right for more information.  Questions & Answers on Self Ban  . . . .

Many casinos and states are also trying to help by offering these additional Ban Services as well:

The self-exclusion procedures and the self-exclusion forms are in a PDF format. To obtain a free copy of Adobe Reader, click here.

Download a copy of: Self-Exclusion Procedures; Self-Exclusion Form

BAN YOURSELF FROM USING ATMS AT MANY CASINOS

The Everi STeP program allows you to exclude yourself from using ATMs at over 1000 gambling locations.

Automated Systems America, Inc. (ASAI) can also assist in blocking ATM transactions in some Arizona casinos.

BAN YOURSELF FROM INTERNET GAMBLING

Gamblock prevents access to internet gambling sites.

Please make sure you visit their Q&A Facts page about more questions of Self Ban and Exclusion, you will find it Helpful….

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The Interesting and Comical Side of Gambling and Self-Ban:

Now, of course, I will KEEP in perspective that gambling is something many people do from time to time. But for others, it becomes an obsession, and they risk losing their livelihoods and much more because of the affliction, THAT IS NOT Funny.

But I have been sitting in the rooms of AA and Gamblers Anonymous a long time, and also when I was in treatment twice in our weekly group meetings. I can tell you I heard all sorts of stories about others who did try the self-ban from casinos. Now I never had the nerve to self-ban from the only Indian Casino 41 miles North of my home in So. Oregon where I lived at the time of my deep gambling addiction. But I have heard many stories from other women who did.

Needless to say, many told of them disguising themselves with make-up, wigs, sun glass’s and the like to hide their identity from the guards. and praying they didn’t hit a BIG jackpot for an attendant to have to come and pay them out or they would be Kicked Out! To me? That is living on the far off the edge! BUT? “If you want something bad enough?” ….

I have had many stories through the years of good and bad about self-banning, but here is a place and website I came across with stories that are both Postive and Negatives of gamblers who self-banned and gambled anyway on Psych Forums-Gamblers Banned I think you need to read. Here is one person’s experience:

“In the US it doesn’t work well. My wife signed the self-exclusion in all local casinos but she is able to play in all of them. One time she was playing, I told security that how come they let her plays when she signed self-exclusion, they immediately kicked her out. But casinos are businesses, and none of them will say no to FREE money. There is no real penalty for letting people who self-excluded play so why should they enforce it? I was considering suing them but all lawyers I contacted said that I can’t win.”

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I hope you have found this to be helpful information and informative. I know I have never written and shared much on Self-Banning and I find it interesting. I think for my own addiction, it most likely would NOT have helped me as I am a type of person that would find another way to “Get What I Wany.”  And self-ban could just backfire as of some other horrific stories I heard as in the rooms as well. Having access to NO MONEY to a gambler can make them turn to criminal acts. Yes, I heard some stories about this as well.

And this I DO have my own personal experience as I wrote about it in my current book, “Addicted To Dimes, Confessions of a Liar and a Cheat.” And part of my title of my Memoir: “Confessions” was my way of taking accountability and ownership of the poor choices I made and the people I had hurt when I was gambling and deep within my disease.

We are only “as sick as our SECRETS” so I wrote and shared most all of what I’d DONE in a public forum within my book to hopefully help others and may they learn just far this cunning, sick and progressive addiction will take you! Here are some signs to look for if you suspect a loved one may have a gambling problem. Visit my friend’s page at  Addictions.com for more information and helpful treatment and support options …

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Any addiction causes highs and lows in a person, and gambling addiction is no exception. According to the NLM, here are some psychological signs of gambling addiction:

  • “Feeling bad after you gamble, but not quitting”
  • Feeling guilty for spending time away from your family or hurting them, but not quitting
  • “Always thinking about gambling”
  • Believing that gambling is not a problem for you, or avoiding thinking about how much time and money you actually spend on gambling

Gambling addiction does become a compulsion, and it is easier not to think about it than it is to soberly consider the repercussions of gambling on your life. Addictions.com

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**Presented by Catherine Townsend-Lyon, Author of  “Addicted To Dimes” **

 

Recovery Guest Blog & Article Spotlight. Marilyn Davis of ‘From Addict 2 Advocate’ & Article By, Carl Towns.

Note from  of  Addict 2 Advocate:  I’m always excited to bring another voice to From Addict 2 Advocate. Carl Towns discusses his struggles with gambling addiction and offers straightforward information, his experience with gambling, and some solutions.

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Gambling Addiction: When Rewards Stop Working

Gambling is one of those attractions that are present in everyday life – the football pool at the office, betting on a presidential race, wagering a dollar on the weather, bingo at the senior citizen center. We might even get a scratch-off with our change from the convenience store, and most people turn a blind eye to these kinds of gambling.

However, the rewards for these seemingly innocuous chance games is what can fuel a gambling addiction.

Our brains have neural pathways; one of which is the brain’s reward system. This system involves electronic impulses that turn into pleasure, memory, and motivation. When a person engages in basic actions such as eating, sexual activity or even sleep; the reward system starts to work. The brain releases a chemical neurotransmitter known as dopamine, which is the one responsible for all the feelings of pleasure and euphoria one might experience upon engaging in certain activities. Experts used to think of addiction as dependency on a chemical; they now define it as repeatedly pursuing a rewarding experience despite serious repercussions.

This is the reason drugs have such an addictive power. These substances basically trick the brain into thinking it has engaged in a highly pleasurable activity and releases up to 10 times the normal dose of dopamine, sometimes even more.

Gambling, much like drug addiction has the same impact on the brain and its dopamine production/release, the difference is that no outside chemicals are working, but the brain starts to relate only gambling-like scenarios with pleasurable ones.

For me, it was just an occasional escapade because I had a couple extra bucks to blow or because I ‘happened’ to be vacationing in Las Vegas and gambling is what people do in Vegas, right? At first, I thought of this as harmless fun, until it wasn’t anymore. I didn’t get the same feelings from just occasionally going to the casinos and found that it was impossible to distance myself from the practice of gambling in any form.

Although I realize now what was happening to me,  many people are unaware that gambling addiction causes the same outcomes as drug and alcohol addiction; it is a problem that affects people all across America and the world. If your gut is telling you that someone you know or love (or yourself) is engaging in gambling at the expense of other areas of their life, these facts may help you decide if there is a problem. As with a substance abuse problem, you may need to help your loved one, or yourself, find professional help.

1. Underestimating the Disease

One of the biggest problems is that often people treat don’t treat gambling addiction seriously. Many times I was told to “brush it off” or “snap out of it”. While those statements prompted my guilt, I was unable to stop gambling, so went to greater lengths to hide my gambling.

If someone approaches you telling you they are suffering from this, listen to them and support them, just like you would do if they were addicted to drugs or alcohol.

Gambling is not unlike chemical drugs; one taste can be enough to hook someone. The first time I set foot in a casino was on a cruise with my family when I was 17. I loved it and when I went back, I started looking for bets everywhere until I was able to work and I could play money.

If you go with young ones to a casino or any gambling site, such as a horse track; talk to them and have them understand that there are risks involved and they should not feel bad if they find it difficult to stop. Caution them that gambling addiction is real and that if they are struggling, even after one round of betting, whether they lose or win, is a good way to be proactive about gambling addiction.

2. How Gambling and Substance Compulsive Consumption are Very Similar

After an extended period of time of regular consumption of drugs or gambling, the reward system basically malfunctions, and three things occur as a result:

3. What Are You Doing and Where’s the Money Gone?  

There are many symptoms related to gambling addiction, however, one word sums them up –spending. How much time are you or someone you know spending in casinos, online, buying scratch-offs and how much money is being spent there?

While the “spending” symptoms are the biggest ones to look out for, there are plenty more signs that can indicate if you or someone you know is falling or has fallen into a gambling addiction. When gambling is a secret, how much money is spent, or what activities you’re engaged in; those are huge red flag warnings. Do any of the following sound familiar?

  • Breaking even will become the goal in the face of big losses (even though it probably won’t happen).
  • Gambling becomes a priority: Planning how to earn more money to gamble, how to take advantage of the games; gambling, probabilities, teams, machines, etc. are all the person can talk about, normal events (like social gatherings) are forgotten in order to go gamble.
  • Gambling becomes an exit to relieve stress or suppress feelings of anxiety and even loneliness.
  • Having the need to gamble increasing quantities of money, if the next bet is not bigger, then it’s not exciting.
  • No matter how much the person works or how much they (or you) earn, it will always be an evolving financial loss situation due to constant gambling.
  • Personal relationships, such as marriage, children, family or even close friends are put in serious jeopardy because of gambling, professional life will be affected too.
  • There are several (failed) attempts to cut down the gambling.
  • When their gambling gets cut down unexpectedly bad temper or irritability start to show.

4. Withdrawal

When I finally realized I had a problem, I tried to stop gambling on my own. I decided that isolation would work. I went to my family’s cabin (which is in the middle of nowhere, in Iowa) to get away from all the temptation.


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I always thought that abstinence syndrome or withdrawals only applied to drugs or alcohol, but in that cabin, I found out it applies to gambling too. I started experiencing unpleasant mental and physical distress, insomnia, anxiety, and even physical pain. A pathological gambler would have the need to be constantly aiming higher, making riskier bets to achieve the same thrill, and high, so when I denied myself all that, I went into withdrawal.

It was a hard path, and if you or a loved one are demonstrating signs of a gambling addiction, it’s very important that you understand it’s not a moral failure or a bad habit, but a compulsion and brain disorder. In order to be treated properly professional help must be sought, if you know of someone suffering from gambling addiction or if you are suffering it yourself, please seek help.

5. Help is Available

Remember that recovering from such disorder is something possible even for people suffering the worst of it. A pathological gambler can make his or her way back to sanity and stability in their life. Resources for gambling addiction are available through local mental health agencies or here are some online resources and books for you to see if you can identify with a gambling addiction and then find help.

The National Problem Gambling Hotline

Gambling Help Online

A great book on gambling and the price one woman and those who knew her had to pay is by Catherine Townsend-Lyon,  Addicted to Dimes (Confessions of a Liar and a Cheat)


Regardless of whether you find help locally or online, just know that gambling addiction will not improve on its own. However daunting that sounds, I know the pitfalls of gambling addiction and the peace and of recovery. I hope you find them, too.

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Biography: Carl Towns

I’m Carl Towns a 28-year-old wannabe writer; I am also a recovering addict on the path of self-discovery. My goal is to learn as many things as possible and to seize every single moment I live, pretty much trying to make up for all that I missed in the years I was lost in drugs and alcohol and gambling. I’m in love with tech, cars and pretty much anything that can be found online.

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Biography: Marilyn L. Davis

A recovery curriculum author with 27 years of abstinence-based recovery, Marilyn advocates for and writes to the addicted population.
She opened and ran an award-winning women’s recovery home from 1990-2011, creating a recovery curriculum, Therapeutic Integrated Education Recovery System, which breaks addiction down into the variables and then offers time-tested exercises for healing, relapse prevention, and dealing with codependency and self-defeating behaviors.

She is the Assistant Editor at Two Drops of Ink, where she shares her gifts as a communicator, encouraging other writers to use their creativity to share their talents through writing.  She believes in the power of words and knows that how something is said is just as important as what is said.

From Addict 2 Advocate explores addiction, recovery, and codependency with the same attention; write, so people relate and heal, and become the best person they can be.

Awards
Marilyn Davis Community Service Learning Award, Brenau University, 2008: ongoing award for individuals in mental health, wellness and recovery.
Liberty Bell Award, Northeastern Judicial Circuit, 2010: given to non-attorneys for their contribution to the criminal justice system and their communities.

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**Presented By Recovery Starts Here! ~ Author/Columnist, Catherine Lyon** 

 

“We Can Learn from Others Recovery Journey. A Little of Mine” . . . .

“When we do the inner work within ourselves and begin to clean out the “soul” is when our recovery really takes hold.”   ~Catherine Townsend-Lyon

“I am a dual-diagnosed person who lives in recovery from gambling addiction and has mental health challenges. It can make obtaining and stay in recovery a wee bit more work, as I discovered.”

My recovery journey first started in 2002 and reset in 2006. Both times I woke up in a hospital as the result of another failed suicide attempt and then went back to an addiction and mental health crisis center for a 14-day stay. In 2002 I was diagnosed with mental health disorders while in the middle of a full-blown gambling addiction. I was suffering from bipolar manic depression, PTSD, and OCD from past childhood trauma and abuse, and today, still manic depression and agoraphobia.

Then again in 2006, another breakdown, but this time the problem wasn’t that I gambled again and relapsed; the problem was not taking my psych medications for a few weeks. I thought I didn’t need them; that I could be “normal” like everyone else around me, but as you read my story, you’ll see that didn’t work out too well.

I had a few severe financial crises happen, and since I had not taken my medication and had depleted all of my savings, I panicked and chose to steal from someone. What a mess? No excuses, just insights. Of course, they pressed charges. I was arrested, went through the courts and was sentenced to many hours of community service, two years of probation and paid restitution that I’m still paying today. My point?

You have to do the work in all areas of your recovery, including your finances. Even though I was not gambling, my financial and legal troubles told me I still needed to work with a gambling addiction specialist. After my problems had occurred, I worked with a recovery expert for a year while I went through the legal mess I created. Why am I sharing this? Our stories and words of our “character defects” can be powerful tools to help others.

After my second suicide attempt and crisis, I learned I did not have a balanced recovery; and seemed had more work to do. I learned that God, my higher power, had bigger plans for me, a purpose for me that involves helping those reaching out for recovery. After I was released from the crisis center in 2006 and started working with a gambling/mental health specialist and got my mental health under control, I began to see the stigma surrounding those of us who live in recovery. Those of us who have a mental illness have a huge hurdle in our path.

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I am a dual-diagnosed person who lives in recovery and has mental health challenges. It can make obtaining recovery a wee bit more work, as I discovered. I had picked up nasty habits, behaviors, and diseased thinking within my addiction that needed more correcting. Working with the gambling specialist was eye opening. He helped me break down the cycle of the addiction, and we also worked with tools and skills for dealing with financial problems that may arise while in recovery. I’d been given a relapse prevention workbook, and although I didn’t relapse into gambling, the book has helped me develop a plan for any financial or life event that may arise during my recovery journey. You need a plan before life events come.

Another tool that helped was journaling every day. I have always done this, but my specialist showed me how to relieve stress and learn more from my journaling. My journals were a guide with help in writing my current published book. Writing my story and experiences in memoir form was a very healing process for me.

I shared my gambling addiction and alcohol abuse, my past childhood abuse and sexual trauma and what it is like living with mental illness. I never dreamed I would be a published author, recovery advocate, freelance writer and blogger, but these are just a few of the recovery blessings I have received in my journey thus far.

By publishing my book and sharing it with the world, I hope to shatter stigma around gambling addiction, recovery, and mental health. I want to be a voice for those who are childhood sex abuse survivors. Through my book and my recovery blog, I have chosen not to be anonymous. I want others to know how devastating compulsive gambling addiction is and how quickly one can become addicted when using it for all the wrong reasons. It truly is a real disease and illness. I want others to be informed and educated, and I raise awareness of the effects it has on our communities, family, and our lives. This also goes with mental health and those who suffer from its many forms.

The public needs to understand with the expansion of casinos and state lotteries, it is making gambling more and more accessible today and is now touching our youth. Currently, 1% of our population are problem gamblers. Through my recovery, I have learned many lessons.

The best advice I can give?

When starting recovery learn about this addiction. Work with a specialist or recovery coach to learn the “cycle” and then learn the tools and skills to interrupt it. Work a steady, balanced recovery that encompasses mind, body, spirit and finances. There are many ways to recover including in or outpatient treatment and 12-step meetings. Anything and everything you can find? Do it. Only one option may not be enough for success in long-term recovery. Unfortunately, I learned this the hard way in early recovery before that little “Lightbulb” above my head went off!

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Now that I have reached TEN years in recovery from gambling addiction and alcohol abuse, I know it is my job, my duty, to be of recovery service to others. Life today is good! My husband and I learned we can now weather any storm together. I’m proud that my book;
“Addicted to Dimes, Confessions of a Liar and a Cheat” has done so well and has opened doors for me to share what I have learned. I advocate and share as much as I can with others. It is to prove we can recover from this insidious addiction.

And I do this in many ways and many platforms, like “Keys To Recovery Newspaper” which is a free publication, Gambling Blogger at Addictionland” and for “In Recovery Magazine & Column The Author’s Cafe”. As we are now hearing more and more people today with “dual diagnosis” and seems to be more common.

With a high percentage of people relapsing after rehab or treatment, I wanted, and my readers asked me, to share how to attain the first year of recovery. I also share this on my recovery journal in blog form. So my second book I am working on now is about just that. How to make that first year in recovery. All I can urge others to do is never give up. You are worth a better life in recovery. Sharing our experiences and our recovery story with others is just as important as the professional or clinical side of how to recover. Sharing one’s story is a powerful tool for others to listen to and learn.

My last tip is to do something for your recovery each day like I do with writing and sharing my “testimony” anywhere I can to raise awareness and educate the public. It will help keep you in recovery, and you won’t ever become complacent in your journey. So, let me pose this question and open up a “Comments Dialogue” .  .  .

“What do you do to stay in RECOVERY”???

 

I wish you all a successful and learning recovery journey!

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Author/Columnist, Catherine Townsend-Lyon  🙂  XoXo

A Recovery New Year Message By My Dear Friend of “Discovering Beautiful” Blog ~ Brittany . . .

“First Thing First! When You Are Done Reading POST?  Visit Her Page: “My Addiction Story”


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A New Year Message In Recovery By ~ Brittany Shelton~(Courtesy of Discovering beautiful) .   .   .   .

“It is our job to keep ourselves on track, pushing toward our own goals, and to encourage other people along while they are working toward theirs.”

I won’t force you to listen to my personal top 50 song list of 2016, the things that I am most grateful for, or my complete goal list for 2017.

I just want to share one of my personal goals that I am carrying over into 2017.

It is to stop allowing the comparison game to take up space in my mind. I made progress in 2016, and this year, I am going to do a better job of supporting other people without getting distracted from what is important to me.

And I know I am not alone in this….

You read something and immediately begin to wonder if what you have just written sucks. 
You can’t help but wonder if you are blogging often enough.
Is your viewpoint relevant anymore?
Are your topics current?
Are your stats high enough?
Is there enough traffic?
Why aren’t you being interviewed?
Is your site as busy as his or as exciting as hers?
Have you participated in as many podcasts as she has?
Did he attend more yoga conventions than you did this month? 
Do you need to find more summits to network at?
Have you even started writing your second book yet?
Are you self-publishing or do you have an agent or a publisher? 
Are you not interacting enough?
Have you been sharing enough?  
Why does it always feel like kissing ass instead of real connection? 
Do we need to scrap our whole site and hire a professional designer? 
Are our networking connections even real?
Is what I am doing important?

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It’s all about what’s hidden on the inside of our experiences.

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This list could go on and on.
And don’t get me wrong, no one pushes these feelings on me. I do it to myself. But this is real shit that I feel from time to time.

I love and appreciate connections on social media and I am happy to know that I am not alone. There are people out there who understand. They get it. I appreciate all of my friends who do support my blog and I am driven to keep going by the feedback from the people who tell me directly that I have inspired them to keep living. That fuels my heart like nothing else.

“But I am ALWAYS reminding myself that God has a specific plan for my life, and I only cheat myself when I allow my mind to trick me into thinking that what I have to offer isn’t important or isn’t enough.”

Blog lists, ranks, re-tweets, shares, likes, or LinkedIn connections can feel nice, but realistically they are not sufficient substitutes that can accurately gauge anyone’s sense of self-worth, relevance, or importance in this world.

For me, my identity is found in my relationship with GOD.

His will and plan for my life is what really matters, and at the end of the day, I know that I am who God says that I am, and I am capable of doing the uniquely personal things that He has carved out for my journey. For 2017, I am going to prayerfully and more consistently remind myself of these things.

I would urge you to embrace your own goals and not to lose sight of what is important to you.

Periodically unplug.

Remember why you started.
And always support other people doing their thing too.

It is our job to keep ourselves on track, pushing toward our own goals, and to encourage other people along while they are working toward theirs.

Happy New Year.  🙂