A Treatment Refresher
While I do have several new posts on the way, I want to highlight a couple of older Grey Thinking posts (some are several years old! I bet you were not reading GT two years ago) that talk specifically about treatment, your attitude toward treatment, recovery expectations, etc. While there are a couple of people that I have in mind when it comes to the subject of these posts, I think that everyone can use the refresher.
You as your own case manager
Originally Posted: 01/01/2009
I wish that all these guys were going to stay clean, I really do. I’ve just seen it so many times that I can tell when someone’s really willing to do whatever it takes and when someone’s willing to do what they think it should take. And it’s just not going to work like that, unfortunately.
–Shelly, Celebrity Rehab with Dr. Drew 2
Wanting to want to recover
Originally Posted: 06/12/2008
Motivation to change implies an intention–weak or strong–to change one’s behavior. However, AN patients may at the same time both wish to recover and be highly resistant to change their behavior. Therefore, we suggest that assessment of motivation in these patients should include not only their motivation to change, but also their different wishes to recover which do not necessarily imply a behavioral intention.
Dr. Drew should treat eating disorders
Originally Posted: 07/01/2008
There are a lot of components of addiction treatment that I believe in and think are important, and should be applied to eating disorders:
- Recovery is a lifelong, daily process
- Denial, and not necessarily that you have a problem, but that you need help
- The importance of personal accountability
- There’s no magic cure
- The disorder should be taken as seriously as any potential fatal disease
Do not pass Go, Do not collect $200
Originally Posted: 12/09/2008
“I don’t want to play the rehab game anymore”
– Jeff Conaway, Celebrity Rehab 2I think that recovery can feel like a game at first because it is so different from the rest of your life. It’s nice to have others care about your wellbeing and there’s something about treatment that gives you permission to take care of yourself. Plus, there is so much positive reinforcement (gold star for following your meal plan over the weekend!). All of this doesn’t sound so bad… and I do believe you can make progress — even with this mindset.When does the game end? Personally, I think this is when the disorder starts to feel threatened. There is something scary about recovering, and suddenly it doesn’t sound like a great idea anymore.
Hello!
Good to “see” you
One of those is totally true (haha most are)–but in talking to a friend recently, recovery is really a lifelong process of finding yourself, while also changing.
I think people often think they *are* willing to do whatever it takes, only to discover that that first, second, third embrace of willingness was a “what it should take” idea. You figure it out in bits and piece as you succeed and slip in treatment and recovery. It’s the treatment providers who know the difference, and so those patients who are most able to turn it over to professionals probably get it more right sooner.
I disagree with the “game” concept … my eating disorder feels threatened from the get-go, and so I go toward treatment from a gun-shy corner of ambivalence, hope, doubt, and transient faith and commitment.
It might look like a game to outsiders. With many adolescents, I think it *is* more manipulative and game-like … but as you get older, there’s really no payoff for game-playing. You’re just wasting your time, money, motivation, clinician goodwill, and time … most of all, time.
For sure, Dr. Drew speaks the truth about eating disorders, as well as addiction, on those named points (though I struggle with a 12-step approach, as the most effective way for me to deal with anorexia).
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