There Are Many Addiction Myths. But Even the Antidotes Sometimes Get It Wrong

There Are Many Addiction Myths. But Even the Antidotes Sometimes Get It Wrong

Welcome to episode #7 in my “Why I do what I do” series!

Have you ever watched the TED talk by Johann Hari called “Everything we think we know about addiction is wrong”? If you haven’t, I highly recommend it.

The fact that so much of what we think we know about addiction is wrong informs reason #7 why I do what I do.

I do what I do because our culture is so steeped in myths about addiction that often tragically misguide families. Families need to be equipped with accurate knowledge and tools to better be able to navigate their loved one’s use.

One of the reasons many of these myths persist, despite the fact that the medical community has demonstrated that they’re false, is because one of the hallmarks of substance abuse is harmful and hurtful behavior. And that creates a dilemma that doesn’t have an easy answer.

Yes, addiction is a disease. But that doesn’t make the behavior OK. This is, in fact, a brief summary of the two competing realities of addiction, what I call addiction’s double bind. Addiction is a disease, but people active in addiction hurt people, and they hurt them badly.

And while there is no one right way to navigate these two realities, if we’re going to successfully address the addiction crisis and generational cycles of addiction and other dysfunction, we HAVE to occupy that middle ground. That messy, uncomfortable, middle ground.

Many of the myths surrounding addiction, and even codependency, are borne from a refusal to acknowledge this messy middle. I do what I do because I don’t believe we will ever be able to effectively resolve the addiction crisis if we don’t work to address both these realities.

So the work I do supports families in finding the right approach for them in that messy middle.

But what does occupying that messy middle look like? Well, in preparation for creating this video blog, I asked ChatGPT to write a blog post for families on myths around addiction. And the output was interesting. It did come up with 7 legitimate myths about addiction, but with one exception, each explanation of the particular myth failed to acknowledge both realities about addiction.

Take the myth that addiction is a moral failing. Here’s ChatGPT scraped from the web on this myth:

“It’s time to dispel the damaging belief that addiction is a result of moral weakness. Addiction is a medical condition, not a character flaw. When we label it as such, we stigmatize our loved ones, making their recovery journey even more challenging.

Instead, let’s focus on providing love, understanding, and encouragement. By supporting your loved one, you can help break down the stigma surrounding addiction and create an environment where healing can take place.” 

And that is all true. Absolutely. But why do people think addiction is a moral failing in the first place?

They think it’s a moral failing because of the damaging behavior. That stuff is real. The damage is real. And the damage is not at all effaced by the fact that addiction is a disease.

Addiction is not a moral failing, but the behavior driven by addiction does have significant moral implications that cannot be ignored. Moral implications that affect the family members more than anyone else in most cases.

If we’re going to effectively address the problem, we have to occupy a the messy middle. So what can that look like in this case?

Here again, we’ll see people say you have to set boundaries. And they’re right. Yes, you do. But if you set those boundaries from a place of judgment and shaming of the behavior – as if it’s a moral failing, you’re exacerbating the disease and further stigmatizing your loved one.

You have to set what I call “Compassionate Boundaries.”

What are Compassionate Boundaries?

Compassionate boundaries are boundaries motivated by self-care, motivated by your need to take care of yourself around the behavior, rather than as any kind of punishment for or judgment of the behavior.

We do our best to acknowledge the fact that the behavior is driven by the disease so we don’t stigmatize our loved one, while also taking care of ourselves around the behavior, because the behavior is not acceptable, no matter what’s driving it.

I do what I do, not only because there are so many myths about addiction and codependency going around that misguide families, but because even the antidotes to those myths can also be misguided.

I do what I do because there just aren’t any simple solutions. And I don’t believe we’ll ever resolve the addiction crisis until we acknowledge how truly complex the problem really is. Until we acknowledge what I call addiction’s double bind – the fact that addiction is a disease, but also that people active in addiction hurt people, and they hurt them badly.

I don’t believe we’ll ever resolve the addiction crisis unless we can find a way to occupy the messy middle between these two realities. And the work I do supports families in figuring out what that messy middle looks like for their particular situation.

So, I’d love to hear from you. What are your thoughts? Drop a comment below or email me at questions@madeleinecraig.com.

The Treatment Industry Largely Ignores Families

The Treatment Industry Largely Ignores Families

Welcome to episode #5 in my “Why I do what I do” series!

So, I’m wondering, how much do you know about the treatment industry. If you’re like most families that I’ve worked with, you probably know little, if anything.

That leads me to reason #5 why I do what I do.

I do what I do because I get contacted by treatment providers all the time requesting that I link to something on their site.

I don’t provide backlinks to treatment programs because I’m not able to vet them adequately and I don’t want to look like I’m endorsing any of them. That said, when I get a request like that, I always check out the treatment center’s website. And the thing I look for on every site some kind of meaningful programming that supports the whole family. Like, ideally, they would have some sort of family programming, too.

But out of the scores of requests I get for a backlink on my site, only one of the treatment centers actually had legitimate family programming. With a couple of exceptions, the rest of them had absolutely nothing, not even info on their website, to support families. The two exceptions simply had a very superficial article on enabling. And like I said, I’ve been contacted by scores of treatment centers.

And that begs the question, if they don’t do anything to support families why are they reaching out to me?

I can tell you why. They are reaching out to me because they are looking for two things:
One is fairly innocuous: They want backlinks to their sites to improve SEO rankings.

The other is a little cringey: They want to make families aware of the existence of their facility, because outside of insurance, by and large it’s families who pay the treatment bills.

But treatment facilities are rarely transparent about what they do and their success rates. In fact, I’ll be doing a post, probably in November on a report that Hazelden Betty Ford published in June about their success rates. That report is very opaque – you really have to read between the lines and look at what they’re not saying – and this is from Hazelden Betty Ford. And the figures displayed in that report are curious at best.

Furthermore, when families get to the point where their loved one is truly willing to accept treatment, the situation is soooooo precarious. And it’s precarious for a number of reasons.
When someone with a substance abuse problem admits they have a problem and they want help, families have a VERY SMALL WINDOW in which to act, before their loved starts walking back that admission that there’s a problem and retreats back into denial. So family members need to take action fast. That’s going to happen the minute the admission leaves their mouth.

It’s often a serious crisis that compels someone abusing substances to admit they need help. And this crisis is likely traumatizing family members just as much as it is the loved one abusing substances. The more stress a person is under, the more the amygdala – the fear center in the brain whose sole job it is to keep us safe – the more amygdala is going to shut down the prefrontal cortex. This is the area of the brain we use for logic, reasoning, and making decisions.

But consider this: the average cost of 30-day residential treatment in the United States is over $42,000.

This means that family members end up in a situation where they’re making an extremely high-stakes decision in a situation in which they have very little time in which to act, they don’t have all the information they need or even know what questions to ask, and their brain isn’t fully online.

I do what I do because I want to help family members prepare themselves ahead of time, so they are prepared, they have all the information they need and they know what questions to ask.

And this is so important, because as cringey as the relationship between treatment centers and families can be, these treatment centers have to operate within a really flawed and deficient health care that is by and large driven by market forces.

Given that family members are one of the primary for treatment centers, I believe if the treatment system is going to change, it’s going to be because family members demand it. I do what I do because I want to empower families to make those changes.

So, I’d love to hear from you. What are your thoughts? Drop a comment below or email me at questions@madeleinecraig.com.

We Know So Much More About Addiction & Family Addiction, But Myths Still Abound

We Know So Much More About Addiction & Family Addiction, But Myths Still Abound

Have you ever been told that your loved one just need to hit bottom before they’ll ever change?

Well, that is categorically untrue and is in fact a dangerous myth that still circulates in society.

So many of the cultural myths about addiction and family addiction (often referred to as codependency, although codependency occurs in many contexts), are hindering our ability to effectively address the addiction epidemic and its effects on families.

The myth I mentioned above is a case in point. But this myth is only one of many. Frankly, I’ve got a list of at least 30.

To learn more, watch the episode below. It’s the third episode in a series I’m doing called “Why I do what I do.”

So, I’d love to hear from you. What are your thoughts? Drop a comment below or email me at questions@madeleinecraig.com.

“You Can’t Control It” Is Only a Partial Truth

“You Can’t Control It” Is Only a Partial Truth

Have you ever had someone tell you that you can’t control your loved one use’s and that you just need to let go and detach and thought there has got to be something that I can do address this problem?
 

If you answered yes, I’m really glad you’re here, because this episode of Hope for Families TV is for you!

I talk a lot about cultural myths that circulate about addiction and family addiction. While the slogan “You can’t control it” is not a myth, it’s also not a complete truth. Families do have influence on the problem. They’re influencing the problem no matter what they do.

To learn more, watch the episode below. It’s the second episode in a series I’m doing called “Why I do what I do.”

So, I’d love to hear from you. What are your thoughts? Drop a comment below or email me at questions@madeleinecraig.com.

We Will Never Resolve the Addiction Crisis Without Supporting Families

We Will Never Resolve the Addiction Crisis Without Supporting Families

Have you ever wondered why we have not been able to resolve the addiction crisis? And why the problem just seems to keep getting worse?

If you answered yes to this question, this episode of Hope for Families TV is for you!

There are of course, several reason why we haven’t made more progress in addressing the problem. One of them, however, has to do with the lack of adequate support for you the family member.

To learn more, watch the episode below. It’s the first episode in a series I’m doing called “Why I do what I do.”

So, I’d love to hear from you. What are your thoughts? Drop a comment below or email me at questions@madeleinecraig.com.